Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,386.00 / $19,368.00	Facility		$2,616.00	$9,386.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.52 / $1,711.62 / $9,234.66	Professional		$1,435.52	$1,711.62	$9,234.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.16 / $2,156.96 / $4,320.79	Professional		$1,513.16	$2,156.96	$4,320.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $9,919.41	Facility		$64.40	$100.00	$9,919.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $960.90 / $1,373.37 / $3,169.89	Professional		$960.90	$1,373.37	$3,169.89
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 $1,218.79 / $2,033.60 / $4,690.92	Professional		$1,218.79	$2,033.60	$4,690.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,483.34	Professional		$1,011.91	$1,531.32	$2,483.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.83 / $2,255.42 / $4,047.93	Professional		$1,605.83	$2,255.42	$4,047.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,056.54 / $10,262.75	Facility		$55.00	$10,056.54	$10,262.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,673.12 / $12,931.52 / $15,118.88	Professional		$12,673.12	$12,931.52	$15,118.88
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 $1,396.81 / $2,140.86 / $2,880.67	Facility		$1,396.81	$2,140.86	$2,880.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.35 / $2,149.28 / $4,649.54	Professional		$1,235.35	$2,149.28	$4,649.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,729.95 / $5,729.95 / $5,729.95	Professional		$5,729.95	$5,729.95	$5,729.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,315.48 / $1,790.95 / $2,203.75	Professional		$1,315.48	$1,790.95	$2,203.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.67 / $1,719.14 / $3,761.26	Professional		$1,179.67	$1,719.14	$3,761.26