Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,492.00 / $17,902.00	Facility		$2,608.00	$7,492.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.96 / $1,665.59 / $7,312.15	Professional		$1,442.96	$1,665.59	$7,312.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,903.76 / $2,402.80 / $4,726.50	Professional		$1,903.76	$2,402.80	$4,726.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,013.65	Facility		$66.00	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,353.55 / $1,937.01 / $4,308.54	Professional		$1,353.55	$1,937.01	$4,308.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $6,906.96 / $12,348.83	Facility		$5,565.00	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,658.58 / $2,093.03 / $4,478.85	Professional		$1,658.58	$2,093.03	$4,478.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $845.87 / $1,891.70 / $2,553.80	Professional		$845.87	$1,891.70	$2,553.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.37 / $2,142.39 / $3,958.67	Professional		$1,524.37	$2,142.39	$3,958.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $19,913.50 / $33,500.00	Facility		$2,250.00	$19,913.50	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,538.00 / $12,538.00 / $14,305.20	Professional		$12,538.00	$12,538.00	$14,305.20
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 $1,712.94 / $2,126.81 / $3,033.36	Facility		$1,712.94	$2,126.81	$3,033.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,674.60 / $2,180.73 / $4,438.59	Professional		$1,674.60	$2,180.73	$4,438.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,408.67 / $5,408.67 / $5,408.67	Professional		$5,408.67	$5,408.67	$5,408.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,099.63 / $1,526.27 / $2,098.62	Professional		$1,099.63	$1,526.27	$2,098.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.18 / $1,722.34 / $3,682.93	Professional		$1,305.18	$1,722.34	$3,682.93