Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.46 / $8,090.00 / $18,309.00	Facility		$2,550.46	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,197.84 / $2,557.73 / $13,761.90	Professional		$2,197.84	$2,557.73	$13,761.90
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 $3,016.66 / $3,883.49 / $7,453.11	Professional		$3,016.66	$3,883.49	$7,453.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $13,037.58	Facility		$64.40	$100.00	$13,037.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,137.25 / $3,056.69 / $6,803.18	Professional		$2,137.25	$3,056.69	$6,803.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,026.00 / $8,026.00 / $8,026.00	Facility		$8,026.00	$8,026.00	$8,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,640.31 / $3,304.38 / $7,029.22	Professional		$2,640.31	$3,304.38	$7,029.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.55 / $2,947.29 / $3,769.14	Professional		$1,992.55	$2,947.29	$3,769.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,388.57 / $3,350.84 / $6,015.53	Professional		$2,388.57	$3,350.84	$6,015.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,957.58 / $21,406.70	Facility		$55.00	$20,957.58	$21,406.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,869.36 / $19,269.12 / $22,504.35	Professional		$18,869.36	$19,269.12	$22,504.35
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 $2,564.73 / $3,325.22 / $4,755.20	Facility		$2,564.73	$3,325.22	$4,755.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,645.69 / $3,443.67 / $7,007.61	Professional		$2,645.69	$3,443.67	$7,007.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,539.04 / $8,539.04 / $8,539.04	Professional		$8,539.04	$8,539.04	$8,539.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,377.60 / $2,988.82 / $3,769.15	Professional		$2,377.60	$2,988.82	$3,769.15
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 $2,142.57 / $2,802.23 / $6,433.11	Professional		$2,142.57	$2,802.23	$6,433.11