Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,859.00 / $19,368.00	Facility		$2,616.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.95 / $1,238.60 / $4,811.70	Professional		$1,073.95	$1,238.60	$4,811.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $11,098.00 / $23,642.59	Facility		$4,204.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.40 / $1,809.40 / $3,616.41	Professional		$1,376.40	$1,809.40	$3,616.41
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 $983.63 / $1,410.68 / $3,211.05	Professional		$983.63	$1,410.68	$3,211.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,748.00 / $4,748.00 / $4,748.00	Facility		$4,748.00	$4,748.00	$4,748.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.16 / $1,603.35 / $3,433.06	Professional		$1,280.16	$1,603.35	$3,433.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,459.94 / $1,914.15	Professional		$1,011.91	$1,459.94	$1,914.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.93 / $1,650.51 / $3,048.65	Professional		$1,173.93	$1,650.51	$3,048.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,244.78 / $10,452.19	Facility		$55.00	$10,244.78	$10,452.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,990.43 / $11,680.42 / $11,680.42	Professional		$10,990.43	$11,680.42	$11,680.42
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 $1,328.28 / $1,637.73 / $2,228.69	Facility		$1,328.28	$1,637.73	$2,228.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.20 / $1,670.57 / $3,409.81	Professional		$1,281.20	$1,670.57	$3,409.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,136.43 / $4,136.43 / $4,136.43	Professional		$4,136.43	$4,136.43	$4,136.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,177.99 / $1,517.87 / $1,914.15	Professional		$1,177.99	$1,517.87	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.90 / $1,329.84 / $2,817.96	Professional		$1,012.90	$1,329.84	$2,817.96