Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $20,135.00	Facility		$2,616.00	$8,870.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.94 / $1,215.08 / $6,185.11	Professional		$1,001.94	$1,215.08	$6,185.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.52 / $1,699.49 / $3,356.74	Professional		$1,346.52	$1,699.49	$3,356.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,426.45	Facility		$64.40	$100.00	$8,426.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $936.17 / $1,341.98 / $3,029.23	Professional		$936.17	$1,341.98	$3,029.23
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 $1,184.09 / $1,486.08 / $3,195.72	Professional		$1,184.09	$1,486.08	$3,195.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.66 / $1,357.85 / $1,833.10	Professional		$1,028.66	$1,357.85	$1,833.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.81 / $1,533.08 / $2,830.94	Professional		$1,103.81	$1,533.08	$2,830.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,141.64 / $8,312.10	Facility		$55.00	$8,141.64	$8,312.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,547.04 / $8,723.60 / $10,186.87	Professional		$8,547.04	$8,723.60	$10,186.87
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 $1,232.93 / $1,548.29 / $2,337.98	Facility		$1,232.93	$1,548.29	$2,337.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,184.09 / $1,570.46 / $3,157.33	Professional		$1,184.09	$1,570.46	$3,157.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,837.76 / $3,837.76 / $3,837.76	Professional		$3,837.76	$3,837.76	$3,837.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,095.68 / $1,506.56 / $1,945.84	Professional		$1,095.68	$1,506.56	$1,945.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.01 / $1,232.29 / $2,615.60	Professional		$943.01	$1,232.29	$2,615.60