Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,833.00 / $21,073.50	Facility		$2,843.00	$9,833.00	$21,073.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.05 / $1,734.92 / $9,411.79	Professional		$1,468.05	$1,734.92	$9,411.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $15,039.00 / $49,214.59	Facility		$4,667.00	$15,039.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,007.48 / $2,583.75 / $5,117.62	Professional		$2,007.48	$2,583.75	$5,117.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $10,063.87	Facility		$65.80	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,427.69 / $2,039.79 / $4,544.55	Professional		$1,427.69	$2,039.79	$4,544.55
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 $1,790.31 / $2,253.14 / $4,829.60	Professional		$1,790.31	$2,253.14	$4,829.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.36 / $1,904.29 / $2,477.94	Professional		$1,258.36	$1,904.29	$2,477.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.46 / $2,285.36 / $4,120.70	Professional		$1,645.46	$2,285.36	$4,120.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,771.82 / $29,620.78	Facility		$55.00	$28,771.82	$29,620.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,872.39 / $19,438.57 / $19,438.57	Professional		$18,872.39	$19,438.57	$19,438.57
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 $1,866.26 / $2,329.73 / $3,194.48	Facility		$1,866.26	$2,329.73	$3,194.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,790.31 / $2,344.66 / $4,829.60	Professional		$1,790.31	$2,344.66	$4,829.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,839.86 / $5,839.86 / $5,839.86	Professional		$5,839.86	$5,839.86	$5,839.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,597.24 / $1,887.56 / $2,380.37	Professional		$1,597.24	$1,887.56	$2,380.37
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 $1,442.34 / $1,913.40 / $4,364.62	Professional		$1,442.34	$1,913.40	$4,364.62