Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,809.31 / $10,051.00 / $22,788.00	Facility		$3,809.31	$10,051.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,387.42 / $4,038.43 / $20,550.59	Professional		$3,387.42	$4,038.43	$20,550.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $15,673.00 / $49,214.59	Facility		$5,540.00	$15,673.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,747.82 / $5,946.29 / $11,341.77	Professional		$4,747.82	$5,946.29	$11,341.77
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 $3,360.32 / $4,843.29 / $10,632.20	Professional		$3,360.32	$4,843.29	$10,632.20
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 $3,996.27 / $5,091.28 / $10,687.46	Professional		$3,996.27	$5,091.28	$10,687.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,521.96 / $4,353.68 / $5,877.47	Professional		$3,521.96	$4,353.68	$5,877.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,547.72 / $4,944.24 / $8,933.16	Professional		$3,547.72	$4,944.24	$8,933.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,169.11 / $31,847.62	Facility		$55.00	$31,169.11	$31,847.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,520.66 / $30,520.66 / $33,489.08	Professional		$30,520.66	$30,520.66	$33,489.08
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 $3,982.97 / $5,049.14 / $6,732.19	Facility		$3,982.97	$5,049.14	$6,732.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,004.33 / $5,290.60 / $10,449.54	Professional		$4,004.33	$5,290.60	$10,449.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,751.24 / $12,751.24 / $12,751.24	Professional		$12,751.24	$12,751.24	$12,751.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,521.96 / $4,828.66 / $6,662.21	Professional		$3,521.96	$4,828.66	$6,662.21
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 $3,099.74 / $4,184.54 / $8,663.74	Professional		$3,099.74	$4,184.54	$8,663.74