Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,859.00 / $19,368.00	Facility		$2,421.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.20 / $1,259.77 / $6,779.47	Professional		$1,078.20	$1,259.77	$6,779.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $13,318.00 / $40,191.04	Facility		$4,446.00	$13,318.00	$40,191.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.13 / $1,922.94 / $3,677.50	Professional		$1,467.13	$1,922.94	$3,677.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,521.05	Facility		$64.40	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $991.93 / $1,420.57 / $3,240.47	Professional		$991.93	$1,420.57	$3,240.47
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 $1,227.29 / $1,611.48 / $3,483.25	Professional		$1,227.29	$1,611.48	$3,483.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,479.76 / $1,914.15	Professional		$1,011.91	$1,479.76	$1,914.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.79 / $1,673.33 / $3,000.62	Professional		$1,204.79	$1,673.33	$3,000.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,389.68 / $10,608.92	Facility		$55.00	$10,389.68	$10,608.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,350.40 / $9,545.36 / $11,145.08	Professional		$9,350.40	$9,545.36	$11,145.08
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 $1,348.41 / $1,680.04 / $2,372.69	Facility		$1,348.41	$1,680.04	$2,372.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.91 / $1,669.48 / $3,459.23	Professional		$1,276.91	$1,669.48	$3,459.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,206.53 / $4,206.53 / $4,206.53	Professional		$4,206.53	$4,206.53	$4,206.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,193.98 / $1,517.87 / $1,914.15	Professional		$1,193.98	$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 $1,039.60 / $1,366.56 / $3,174.34	Professional		$1,039.60	$1,366.56	$3,174.34