Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,858.00 / $19,368.00	Facility		$2,231.07	$8,858.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.31 / $1,356.82 / $7,305.21	Professional		$1,160.31	$1,356.82	$7,305.21
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 $1,577.97 / $1,976.29 / $3,960.96	Professional		$1,577.97	$1,976.29	$3,960.96
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 $1,019.19 / $1,457.61 / $3,331.89	Professional		$1,019.19	$1,457.61	$3,331.89
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 $1,323.89 / $1,744.49 / $3,746.44	Professional		$1,323.89	$1,744.49	$3,746.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.47 / $1,745.12 / $2,141.73	Professional		$1,586.47	$1,745.12	$2,141.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,796.71 / $3,223.02	Professional		$1,294.33	$1,796.71	$3,223.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,179.00 / $11,411.40	Facility		$55.00	$11,179.00	$11,411.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,697.50 / $10,697.50 / $11,999.03	Professional		$10,697.50	$10,697.50	$11,999.03
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 $1,444.24 / $1,795.95 / $2,543.92	Facility		$1,444.24	$1,795.95	$2,543.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,358.06 / $1,792.81 / $3,707.85	Professional		$1,358.06	$1,792.81	$3,707.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,532.75 / $4,532.75 / $4,532.75	Professional		$4,532.75	$4,532.75	$4,532.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,279.99 / $1,439.99 / $1,759.99	Professional		$1,279.99	$1,439.99	$1,759.99
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 $1,096.49 / $1,430.30 / $3,040.95	Professional		$1,096.49	$1,430.30	$3,040.95