Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.83 / $10,051.00 / $20,509.00	Facility		$2,327.83	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,088.23 / $2,459.88 / $14,515.10	Professional		$2,088.23	$2,459.88	$14,515.10
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 $2,870.07 / $3,761.74 / $7,232.59	Professional		$2,870.07	$3,761.74	$7,232.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $12,942.43	Facility		$64.40	$100.00	$12,942.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,968.12 / $2,846.39 / $6,459.31	Professional		$1,968.12	$2,846.39	$6,459.31
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 $2,307.42 / $3,278.62 / $7,207.71	Professional		$2,307.42	$3,278.62	$7,207.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,554.71 / $3,119.71 / $4,211.60	Professional		$2,554.71	$3,119.71	$4,211.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,550.76 / $3,521.27 / $6,358.09	Professional		$2,550.76	$3,521.27	$6,358.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,439.82 / $29,057.31	Facility		$55.00	$28,439.82	$29,057.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,805.56 / $20,805.56 / $23,750.10	Professional		$20,805.56	$20,805.56	$23,750.10
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 $2,708.67 / $3,427.53 / $4,960.97	Facility		$2,708.67	$3,427.53	$4,960.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,431.71 / $3,484.60 / $7,210.96	Professional		$2,431.71	$3,484.60	$7,210.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,006.36 / $9,006.36 / $9,006.36	Professional		$9,006.36	$9,006.36	$9,006.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,554.71 / $3,460.60 / $4,832.56	Professional		$2,554.71	$3,460.60	$4,832.56
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 $2,096.65 / $2,741.77 / $5,743.33	Professional		$2,096.65	$2,741.77	$5,743.33