Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $20,509.00	Facility		$2,616.00	$8,934.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.60 / $1,392.32 / $7,107.41	Professional		$1,178.60	$1,392.32	$7,107.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,801.70 / $2,343.12 / $4,215.62	Professional		$1,801.70	$2,343.12	$4,215.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,041.94 / $1,493.34 / $3,395.89	Professional		$1,041.94	$1,493.34	$3,395.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $10,000.00 / $10,000.00	Facility		$6,500.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.01 / $1,706.93 / $3,675.43	Professional		$1,341.01	$1,706.93	$3,675.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.59 / $1,517.89 / $2,028.95	Professional		$1,072.59	$1,517.89	$2,028.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.03 / $1,740.31 / $3,155.12	Professional		$1,253.03	$1,740.31	$3,155.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $17,193.66 / $30,000.00	Facility		$5,897.00	$17,193.66	$30,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,948.48 / $10,948.48 / $12,090.75	Professional		$10,948.48	$10,948.48	$12,090.75
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 $1,426.94 / $1,763.23 / $2,702.00	Facility		$1,426.94	$1,763.23	$2,702.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.01 / $1,775.15 / $3,637.90	Professional		$1,341.01	$1,775.15	$3,637.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $4,410.00 / $4,410.00	Professional		$4,410.00	$4,410.00	$4,410.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.16 / $1,608.89 / $2,028.94	Professional		$1,223.16	$1,608.89	$2,028.94
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $14,160.00 / $33,317.00	Facility		$7,696.00	$14,160.00	$33,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.83 / $1,456.69 / $3,016.44	Professional		$1,087.83	$1,456.69	$3,016.44