Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,097.70 / $19,368.00	Facility		$2,387.00	$9,097.70	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.03 / $1,481.22 / $7,972.48	Professional		$1,160.03	$1,481.22	$7,972.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.56 / $2,023.37 / $4,062.08	Professional		$1,615.56	$2,023.37	$4,062.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,036.22 / $1,491.83 / $3,392.94	Professional		$1,036.22	$1,491.83	$3,392.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.05 / $1,826.97 / $4,097.60	Professional		$1,347.05	$1,826.97	$4,097.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.80 / $1,804.00 / $2,255.00	Professional		$1,061.80	$1,804.00	$2,255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.86 / $2,009.41 / $3,608.26	Professional		$1,430.86	$2,009.41	$3,608.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,733.28 / $8,957.00 / $26,542.00	Facility		$5,733.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,080.32 / $11,374.64 / $13,204.73	Professional		$11,080.32	$11,374.64	$13,204.73
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 $1,453.07 / $1,938.00 / $2,678.24	Facility		$1,453.07	$1,938.00	$2,678.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,379.42 / $1,945.95 / $4,077.53	Professional		$1,379.42	$1,945.95	$4,077.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,946.76 / $4,946.76 / $4,946.76	Professional		$4,946.76	$4,946.76	$4,946.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.34 / $1,638.22 / $2,008.52	Professional		$1,380.34	$1,638.22	$2,008.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.96 / $1,504.74 / $3,302.21	Professional		$1,161.96	$1,504.74	$3,302.21