Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $7,525.28 / $18,681.00	Facility		$2,700.00	$7,525.28	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,306.67 / $6,678.53	Professional		$1,082.89	$1,306.67	$6,678.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,273.00 / $32,242.00	Facility		$4,294.00	$14,273.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.37 / $1,820.46 / $3,625.94	Professional		$1,442.37	$1,820.46	$3,625.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,379.87	Facility		$66.00	$100.00	$21,379.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,001.90 / $1,438.20 / $3,255.67	Professional		$1,001.90	$1,438.20	$3,255.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $19,663.57 / $35,218.33	Facility		$8,500.00	$19,663.57	$35,218.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.35 / $1,600.08 / $3,455.31	Professional		$1,262.35	$1,600.08	$3,455.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.52 / $1,472.44 / $1,987.79	Professional		$600.52	$1,472.44	$1,987.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.24 / $1,660.36 / $3,016.17	Professional		$1,180.24	$1,660.36	$3,016.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $33,500.00 / $56,792.45	Facility		$2,250.00	$33,500.00	$56,792.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,256.00 / $9,423.28 / $11,014.13	Professional		$9,256.00	$9,423.28	$11,014.13
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 $1,311.38 / $1,637.18 / $2,360.77	Facility		$1,311.38	$1,637.18	$2,360.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.76 / $1,663.50 / $3,405.31	Professional		$1,277.76	$1,663.50	$3,405.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,143.89 / $4,143.89 / $4,143.89	Professional		$4,143.89	$4,143.89	$4,143.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $780.68 / $1,188.18 / $1,633.75	Professional		$780.68	$1,188.18	$1,633.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,571.00	Facility		$7,696.00	$13,797.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.27 / $1,335.25 / $2,825.37	Professional		$1,009.27	$1,335.25	$2,825.37