Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,981.43 / $19,368.00	Facility		$2,421.00	$8,981.43	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.18 / $1,486.53 / $8,023.28	Professional		$1,240.18	$1,486.53	$8,023.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $7,231.00 / $21,405.00	Facility		$2,424.00	$7,231.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $1,883.63 / $3,720.94	Professional		$1,382.00	$1,883.63	$3,720.94
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 $829.57 / $1,185.95 / $2,753.93	Professional		$829.57	$1,185.95	$2,753.93
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 $1,088.50 / $1,770.32 / $4,009.55	Professional		$1,088.50	$1,770.32	$4,009.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $931.49 / $1,409.63 / $2,170.80	Professional		$931.49	$1,409.63	$2,170.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.36 / $1,967.88 / $3,530.43	Professional		$1,400.36	$1,967.88	$3,530.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,752.15 / $8,928.79	Facility		$55.00	$8,752.15	$8,928.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,028.08 / $11,249.60 / $13,152.23	Professional		$11,028.08	$11,249.60	$13,152.23
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 $1,256.77 / $1,864.99 / $2,518.13	Facility		$1,256.77	$1,864.99	$2,518.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.61 / $1,865.57 / $4,006.07	Professional		$1,109.61	$1,865.57	$4,006.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,978.28 / $4,978.28 / $4,978.28	Professional		$4,978.28	$4,978.28	$4,978.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,210.94 / $1,576.27 / $1,926.55	Professional		$1,210.94	$1,576.27	$1,926.55
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 $1,023.73 / $1,468.83 / $3,304.44	Professional		$1,023.73	$1,468.83	$3,304.44