Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.11 / $6,880.00 / $17,902.00	Facility		$1,598.11	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.00 / $1,704.42 / $6,134.72	Professional		$1,388.00	$1,704.42	$6,134.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,956.00	Facility		$3,585.00	$11,276.00	$22,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,877.49 / $2,364.98 / $4,665.64	Professional		$1,877.49	$2,364.98	$4,665.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,659.23	Facility		$66.00	$100.00	$20,659.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,278.75 / $1,826.84 / $4,171.03	Professional		$1,278.75	$1,826.84	$4,171.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,056.69 / $4,422.80	Professional		$1,618.46	$2,056.69	$4,422.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $834.32 / $1,869.45 / $2,523.76	Professional		$834.32	$1,869.45	$2,523.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,506.16 / $2,116.89 / $3,859.00	Professional		$1,506.16	$2,116.89	$3,859.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,687.85 / $23,559.52	Facility		$55.00	$7,687.85	$23,559.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,850.64 / $12,090.08 / $14,134.35	Professional		$11,850.64	$12,090.08	$14,134.35
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 $1,693.51 / $2,086.73 / $2,991.12	Facility		$1,693.51	$2,086.73	$2,991.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,641.11 / $2,143.26 / $4,382.88	Professional		$1,641.11	$2,143.26	$4,382.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,339.09 / $5,339.09 / $5,339.09	Professional		$5,339.09	$5,339.09	$5,339.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,084.61 / $1,508.31 / $2,073.92	Professional		$1,084.61	$1,508.31	$2,073.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,171.00 / $28,973.00	Facility		$7,696.00	$13,171.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.09 / $1,735.01 / $3,635.55	Professional		$1,291.09	$1,735.01	$3,635.55