Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,066.50 / $18,309.00	Facility		$1,992.00	$8,066.50	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.98 / $1,504.77 / $8,066.50	Professional		$1,278.98	$1,504.77	$8,066.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,286.00 / $17,058.00	Facility		$3,640.00	$8,286.00	$17,058.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.37 / $2,209.73 / $4,373.70	Professional		$1,764.37	$2,209.73	$4,373.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,263.42	Facility		$64.40	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,189.74 / $1,702.60 / $3,884.48	Professional		$1,189.74	$1,702.60	$3,884.48
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 $1,537.10 / $1,936.87 / $4,151.72	Professional		$1,537.10	$1,936.87	$4,151.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.33 / $1,749.42 / $2,325.44	Professional		$1,229.33	$1,749.42	$2,325.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,426.69 / $1,981.51 / $3,554.54	Professional		$1,426.69	$1,981.51	$3,554.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,330.78 / $12,579.70	Facility		$55.00	$12,330.78	$12,579.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,098.24 / $11,320.72 / $13,233.08	Professional		$11,098.24	$11,320.72	$13,233.08
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 $1,598.18 / $1,955.35 / $2,589.46	Facility		$1,598.18	$1,955.35	$2,589.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.57 / $2,010.54 / $4,103.45	Professional		$1,546.57	$2,010.54	$4,103.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,005.12 / $5,005.12 / $5,005.12	Professional		$5,005.12	$5,005.12	$5,005.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,411.46 / $1,844.00 / $2,325.42	Professional		$1,411.46	$1,844.00	$2,325.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.68 / $1,610.65 / $3,404.18	Professional		$1,210.68	$1,610.65	$3,404.18