Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.88 / $9,639.00 / $20,509.00	Facility		$1,158.88	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.69 / $1,341.31 / $6,928.38	Professional		$1,016.69	$1,341.31	$6,928.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$11,289.00	$26,404.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,520.68 / $1,919.30 / $3,790.01	Professional		$1,520.68	$1,919.30	$3,790.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $999.17 / $1,445.55 / $3,209.12	Professional		$999.17	$1,445.55	$3,209.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.94 / $1,630.85 / $3,550.75	Professional		$1,240.94	$1,630.85	$3,550.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.85 / $1,503.20 / $1,931.06	Professional		$1,020.85	$1,503.20	$1,931.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.54 / $1,737.94 / $3,131.78	Professional		$1,263.54	$1,737.94	$3,131.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $14,535.62 / $17,633.77	Facility		$5,000.00	$14,535.62	$17,633.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,643.36 / $9,855.60 / $12,487.28	Professional		$9,643.36	$9,855.60	$12,487.28
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 $1,401.33 / $1,712.41 / $2,419.87	Facility		$1,401.33	$1,712.41	$2,419.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,241.33 / $1,703.07 / $3,582.38	Professional		$1,241.33	$1,703.07	$3,582.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,298.93 / $4,298.93 / $4,298.93	Professional		$4,298.93	$4,298.93	$4,298.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,209.94 / $1,531.27 / $1,931.05	Professional		$1,209.94	$1,531.27	$1,931.05
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.25 / $1,352.18 / $2,970.98	Professional		$1,073.25	$1,352.18	$2,970.98