Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,608.00 / $19,894.00	Facility		$2,843.00	$9,608.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.26 / $1,555.69 / $8,385.77	Professional		$1,305.26	$1,555.69	$8,385.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $49,214.59	Facility		$3,908.00	$11,400.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,672.00 / $2,165.82 / $4,497.29	Professional		$1,672.00	$2,165.82	$4,497.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,150.11	Facility		$64.40	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,270.96 / $1,819.04 / $4,045.76	Professional		$1,270.96	$1,819.04	$4,045.76
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 $1,536.27 / $1,989.23 / $4,255.13	Professional		$1,536.27	$1,989.23	$4,255.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $966.12 / $1,462.02 / $2,243.92	Professional		$966.12	$1,462.02	$2,243.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.69 / $2,040.81 / $3,663.68	Professional		$1,454.69	$2,040.81	$3,663.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,763.03 / $13,030.85	Facility		$55.00	$12,763.03	$13,030.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,622.57 / $11,728.96 / $13,705.35	Professional		$11,622.57	$11,728.96	$13,705.35
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 $1,646.82 / $2,029.73 / $2,800.00	Facility		$1,646.82	$2,029.73	$2,800.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,573.14 / $2,060.85 / $4,220.24	Professional		$1,573.14	$2,060.85	$4,220.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,203.21 / $5,203.21 / $5,203.21	Professional		$5,203.21	$5,203.21	$5,203.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.95 / $1,629.17 / $1,991.21	Professional		$1,255.95	$1,629.17	$1,991.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.16 / $1,694.87 / $3,876.40	Professional		$1,259.16	$1,694.87	$3,876.40