Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.29 / $10,004.00 / $20,509.00	Facility		$1,943.29	$10,004.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.25 / $1,865.83 / $9,488.69	Professional		$1,610.25	$1,865.83	$9,488.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $25,419.52	Facility		$3,908.00	$10,710.50	$25,419.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,201.62 / $2,913.61 / $5,506.27	Professional		$2,201.62	$2,913.61	$5,506.27
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 $2,051.53 / $2,930.75 / $6,014.17	Professional		$2,051.53	$2,930.75	$6,014.17
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 $1,874.88 / $2,605.46 / $5,165.04	Professional		$1,874.88	$2,605.46	$5,165.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.39 / $2,262.05 / $3,072.59	Professional		$2,048.39	$2,262.05	$3,072.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,678.47 / $2,313.83 / $4,180.37	Professional		$1,678.47	$2,313.83	$4,180.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,508.41 / $14,811.02	Facility		$55.00	$14,508.41	$14,811.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,361.93 / $18,361.93 / $18,361.93	Professional		$18,361.93	$18,361.93	$18,361.93
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 $1,901.42 / $2,467.69 / $3,499.89	Facility		$1,901.42	$2,467.69	$3,499.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,922.94 / $2,777.41 / $4,909.46	Professional		$1,922.94	$2,777.41	$4,909.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,887.55 / $5,887.55 / $5,887.55	Professional		$5,887.55	$5,887.55	$5,887.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,849.70 / $2,281.30 / $3,874.78	Professional		$1,849.70	$2,281.30	$3,874.78
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 $1,472.60 / $2,017.47 / $4,008.31	Professional		$1,472.60	$2,017.47	$4,008.31