Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,629.10 / $10,051.00 / $20,509.00	Facility		$2,629.10	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,415.57 / $3,159.60 / $17,016.90	Professional		$2,415.57	$3,159.60	$17,016.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $15,673.00 / $49,214.59	Facility		$5,486.00	$15,673.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,566.66 / $4,674.75 / $8,987.98	Professional		$3,566.66	$4,674.75	$8,987.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $20,802.80	Facility		$64.40	$100.00	$20,802.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,708.22 / $3,906.94 / $8,596.11	Professional		$2,708.22	$3,906.94	$8,596.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,017.77 / $4,007.56 / $8,611.62	Professional		$3,017.77	$4,007.56	$8,611.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,176.46 / $3,652.93 / $4,896.77	Professional		$3,176.46	$3,652.93	$4,896.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,971.64 / $4,108.95 / $7,418.86	Professional		$2,971.64	$4,108.95	$7,418.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,865.56 / $26,422.62	Facility		$55.00	$25,865.56	$26,422.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,142.49 / $27,142.49 / $27,781.65	Professional		$27,142.49	$27,142.49	$27,781.65
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 $3,206.49 / $4,102.60 / $5,976.79	Facility		$3,206.49	$4,102.60	$5,976.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,093.06 / $4,298.63 / $8,611.62	Professional		$3,093.06	$4,298.63	$8,611.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,558.65 / $10,558.65 / $10,558.65	Professional		$10,558.65	$10,558.65	$10,558.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,176.46 / $4,023.23 / $6,008.66	Professional		$3,176.46	$4,023.23	$6,008.66
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $17,163.00 / $37,944.00	Facility		$8,830.00	$17,163.00	$37,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,557.17 / $3,315.24 / $7,008.44	Professional		$2,557.17	$3,315.24	$7,008.44