Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,029.39 / $19,368.00	Facility		$2,421.00	$9,029.39	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.98 / $1,491.21 / $8,062.72	Professional		$1,304.98	$1,491.21	$8,062.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,780.00 / $28,647.00	Facility		$3,585.00	$11,780.00	$28,647.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.37 / $2,322.41 / $4,367.71	Professional		$1,851.37	$2,322.41	$4,367.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,235.62	Facility		$66.00	$100.00	$15,235.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,133.33 / $1,659.78 / $3,693.50	Professional		$1,133.33	$1,659.78	$3,693.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,345.00 / $17,680.95 / $31,667.37	Facility		$15,345.00	$17,680.95	$31,667.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.68 / $2,066.28 / $4,349.72	Professional		$1,555.68	$2,066.28	$4,349.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.55 / $1,744.38 / $12,622.95	Professional		$1,285.55	$1,744.38	$12,622.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.52 / $1,975.73 / $3,542.66	Professional		$1,422.52	$1,975.73	$3,542.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,462.40 / $51,066.20	Facility		$55.00	$11,462.40	$51,066.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,082.40 / $11,296.00 / $13,142.03	Professional		$11,082.40	$11,296.00	$13,142.03
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 $1,562.42 / $1,944.87 / $2,667.68	Facility		$1,562.42	$1,944.87	$2,667.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,578.35 / $2,119.10 / $4,116.57	Professional		$1,578.35	$2,119.10	$4,116.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,002.75 / $5,002.75 / $5,002.75	Professional		$5,002.75	$5,002.75	$5,002.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,407.56 / $1,671.22 / $2,185.44	Professional		$1,407.56	$1,671.22	$2,185.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,444.00 / $15,488.00 / $35,769.00	Facility		$8,444.00	$15,488.00	$35,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.50 / $1,732.60 / $3,403.39	Professional		$1,246.50	$1,732.60	$3,403.39