Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,213.98 / $17,902.00	Facility		$2,402.00	$7,213.98	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,263.55 / $4,637.49	Professional		$1,051.57	$1,263.55	$4,637.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,321.00 / $23,933.00	Facility		$3,846.00	$12,321.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.30 / $1,678.65 / $3,472.33	Professional		$1,265.30	$1,678.65	$3,472.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,826.43	Facility		$66.00	$100.00	$9,826.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $955.28 / $1,365.23 / $3,040.80	Professional		$955.28	$1,365.23	$3,040.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $16,650.30 / $29,821.44	Facility		$8,500.00	$16,650.30	$29,821.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.75 / $1,524.00 / $3,305.72	Professional		$1,158.75	$1,524.00	$3,305.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,415.96 / $1,911.55	Professional		$674.61	$1,415.96	$1,911.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.35 / $1,594.80 / $2,896.37	Professional		$1,133.35	$1,594.80	$2,896.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,738.15 / $33,500.00 / $48,089.50	Facility		$5,738.15	$33,500.00	$48,089.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,345.25 / $9,345.25 / $10,556.63	Professional		$9,345.25	$9,345.25	$10,556.63
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 $1,295.64 / $1,597.28 / $2,550.00	Facility		$1,295.64	$1,597.28	$2,550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.71 / $1,579.85 / $3,262.45	Professional		$1,208.71	$1,579.85	$3,262.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,967.03 / $3,967.03 / $3,967.03	Professional		$3,967.03	$3,967.03	$3,967.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $876.99 / $1,214.29 / $1,571.17	Professional		$876.99	$1,214.29	$1,571.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.01 / $1,271.52 / $2,723.64	Professional		$978.01	$1,271.52	$2,723.64