Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,386.00 / $19,368.00	Facility		$2,421.00	$9,386.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.50 / $1,990.32 / $10,731.20	Professional		$1,637.50	$1,990.32	$10,731.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,248.00 / $34,433.58	Facility		$3,222.00	$9,248.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.13 / $2,322.27 / $4,895.18	Professional		$1,398.13	$2,322.27	$4,895.18
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 $775.48 / $1,116.30 / $2,744.80	Professional		$775.48	$1,116.30	$2,744.80
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 $1,135.63 / $2,352.13 / $5,438.05	Professional		$1,135.63	$2,352.13	$5,438.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $915.49 / $1,385.40 / $2,865.65	Professional		$915.49	$1,385.40	$2,865.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,859.78 / $2,607.71 / $4,682.04	Professional		$1,859.78	$2,607.71	$4,682.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,646.83 / $26,183.63	Facility		$55.00	$25,646.83	$26,183.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,693.84 / $14,998.96 / $17,530.43	Professional		$14,693.84	$14,998.96	$17,530.43
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 $1,162.80 / $2,429.73 / $3,306.27	Facility		$1,162.80	$2,429.73	$3,306.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,135.63 / $2,474.30 / $5,399.88	Professional		$1,135.63	$2,474.30	$5,399.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,658.48 / $6,658.48 / $6,658.48	Professional		$6,658.48	$6,658.48	$6,658.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,190.13 / $1,849.34 / $2,542.85	Professional		$1,190.13	$1,849.34	$2,542.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.04 / $1,969.44 / $4,419.64	Professional		$1,198.04	$1,969.44	$4,419.64