Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,731.00 / $19,894.00	Facility		$2,843.00	$9,731.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.82 / $1,895.42 / $10,174.79	Professional		$1,294.82	$1,895.42	$10,174.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $20,059.00 / $51,758.00	Facility		$5,863.00	$20,059.00	$51,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,759.32 / $2,343.89 / $4,602.35	Professional		$1,759.32	$2,343.89	$4,602.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $13,147.21	Facility		$64.40	$100.00	$13,147.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,082.09 / $1,550.53 / $3,678.83	Professional		$1,082.09	$1,550.53	$3,678.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,622.09 / $2,341.17 / $5,150.17	Professional		$1,622.09	$2,341.17	$5,150.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.11 / $2,193.50 / $2,741.88	Professional		$1,224.11	$2,193.50	$2,741.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,849.64 / $2,537.96 / $4,577.22	Professional		$1,849.64	$2,537.96	$4,577.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $32,143.44 / $32,888.66	Facility		$55.00	$32,143.44	$32,888.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,120.80 / $14,438.08 / $18,306.30	Professional		$14,120.80	$14,438.08	$18,306.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,930.91 / $2,494.64 / $3,379.09	Facility		$1,930.91	$2,494.64	$3,379.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,624.52 / $2,412.85 / $5,190.83	Professional		$1,624.52	$2,412.85	$5,190.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,313.25 / $6,313.25 / $6,313.25	Professional		$6,313.25	$6,313.25	$6,313.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,591.36 / $1,986.08 / $2,427.44	Professional		$1,591.36	$1,986.08	$2,427.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.09 / $1,972.10 / $4,031.06	Professional		$1,509.09	$1,972.10	$4,031.06