Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.59 / $9,639.00 / $20,509.00	Facility		$1,306.59	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.63 / $1,342.45 / $7,231.81	Professional		$1,148.63	$1,342.45	$7,231.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,159.00 / $34,930.00	Facility		$4,314.00	$12,159.00	$34,930.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.81 / $1,905.96 / $3,814.96	Professional		$1,521.81	$1,905.96	$3,814.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,041.93 / $1,491.42 / $3,406.21	Professional		$1,041.93	$1,491.42	$3,406.21
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 $1,346.73 / $1,725.77 / $3,711.16	Professional		$1,346.73	$1,725.77	$3,711.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $1,966.20	Professional		$1,011.91	$1,531.32	$1,966.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.09 / $1,780.59 / $3,193.81	Professional		$1,276.09	$1,780.59	$3,193.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,306.40 / $25,830.56	Facility		$55.00	$25,306.40	$25,830.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,963.04 / $10,168.40 / $11,883.75	Professional		$9,963.04	$10,168.40	$11,883.75
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 $1,435.55 / $1,767.21 / $2,614.94	Facility		$1,435.55	$1,767.21	$2,614.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,367.34 / $1,801.29 / $3,670.27	Professional		$1,367.34	$1,801.29	$3,670.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,487.18 / $4,487.18 / $4,487.18	Professional		$4,487.18	$4,487.18	$4,487.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,269.10 / $1,517.87 / $1,914.15	Professional		$1,269.10	$1,517.87	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.43 / $1,443.24 / $3,064.50	Professional		$1,082.43	$1,443.24	$3,064.50