Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.10 / $1,171.01 / $6,215.49	Professional		$1,006.10	$1,171.01	$6,215.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $22,314.29	Facility		$2,456.00	$7,231.00	$22,314.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,386.44 / $1,749.87 / $3,367.30	Professional		$1,386.44	$1,749.87	$3,367.30
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 $1,024.23 / $1,467.89 / $3,215.43	Professional		$1,024.23	$1,467.89	$3,215.43
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 $1,199.55 / $1,513.63 / $3,176.08	Professional		$1,199.55	$1,513.63	$3,176.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $859.64 / $1,300.90 / $1,669.00	Professional		$859.64	$1,300.90	$1,669.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.08 / $1,516.38 / $2,721.66	Professional		$1,084.08	$1,516.38	$2,721.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,764.50 / $6,910.85	Facility		$55.00	$6,764.50	$6,910.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,637.49 / $9,637.49 / $10,168.35	Professional		$9,637.49	$9,637.49	$10,168.35
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 $1,237.11 / $1,580.24 / $2,157.40	Facility		$1,237.11	$1,580.24	$2,157.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,199.92 / $1,616.42 / $3,169.01	Professional		$1,199.92	$1,616.42	$3,169.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,856.59 / $3,856.59 / $3,856.59	Professional		$3,856.59	$3,856.59	$3,856.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,077.15 / $1,289.46 / $1,626.11	Professional		$1,077.15	$1,289.46	$1,626.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.55 / $1,271.16 / $2,833.06	Professional		$959.55	$1,271.16	$2,833.06