Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.02 / $10,051.00 / $20,509.00	Facility		$2,115.02	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,766.54 / $2,103.35 / $10,736.80	Professional		$1,766.54	$2,103.35	$10,736.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $12,567.00 / $28,170.00	Facility		$4,644.00	$12,567.00	$28,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,525.69 / $3,284.86 / $6,057.40	Professional		$2,525.69	$3,284.86	$6,057.40
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 $2,212.33 / $3,160.47 / $6,689.32	Professional		$2,212.33	$3,160.47	$6,689.32
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 $2,139.44 / $2,916.91 / $5,629.58	Professional		$2,139.44	$2,916.91	$5,629.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,302.88 / $2,533.17 / $3,517.68	Professional		$2,302.88	$2,533.17	$3,517.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.92 / $2,601.91 / $4,697.07	Professional		$1,883.92	$2,601.91	$4,697.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,353.82 / $16,702.70	Facility		$55.00	$16,353.82	$16,702.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,172.06 / $18,246.50 / $18,848.64	Professional		$18,172.06	$18,246.50	$18,848.64
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 $2,135.25 / $2,752.61 / $3,824.80	Facility		$2,135.25	$2,752.61	$3,824.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,154.31 / $3,045.45 / $5,464.68	Professional		$2,154.31	$3,045.45	$5,464.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,662.01 / $6,662.01 / $6,662.01	Professional		$6,662.01	$6,662.01	$6,662.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,078.21 / $2,554.44 / $4,436.07	Professional		$2,078.21	$2,554.44	$4,436.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,671.05 / $2,314.77 / $5,042.97	Professional		$1,671.05	$2,314.77	$5,042.97