Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.48 / $10,051.00 / $20,509.00	Facility		$2,149.48	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.30 / $2,107.31 / $10,717.50	Professional		$1,779.30	$2,107.31	$10,717.50
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 $2,495.76 / $3,271.14 / $6,090.95	Professional		$2,495.76	$3,271.14	$6,090.95
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 $1,898.08 / $2,711.54 / $5,837.67	Professional		$1,898.08	$2,711.54	$5,837.67
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 $2,166.92 / $2,931.34 / $5,780.25	Professional		$2,166.92	$2,931.34	$5,780.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,296.91 / $2,526.60 / $3,100.83	Professional		$2,296.91	$2,526.60	$3,100.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,879.34 / $2,595.94 / $4,686.02	Professional		$1,879.34	$2,595.94	$4,686.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,319.10 / $16,669.73	Facility		$55.00	$16,319.10	$16,669.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,192.43 / $19,192.43 / $19,192.43	Professional		$19,192.43	$19,192.43	$19,192.43
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 $2,130.01 / $2,725.96 / $3,926.32	Facility		$2,130.01	$2,725.96	$3,926.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,169.88 / $3,062.13 / $5,532.45	Professional		$2,169.88	$3,062.13	$5,532.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,649.99 / $6,649.99 / $6,649.99	Professional		$6,649.99	$6,649.99	$6,649.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,852.96 / $2,084.58 / $2,547.82	Professional		$1,852.96	$2,084.58	$2,547.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,078.00 / $28,973.00	Facility		$7,696.00	$13,078.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.67 / $2,264.03 / $4,523.39	Professional		$1,612.67	$2,264.03	$4,523.39