Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.96 / $8,090.00 / $18,309.00	Facility		$2,442.96	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,206.62 / $2,620.40 / $14,325.00	Professional		$2,206.62	$2,620.40	$14,325.00
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 $2,937.18 / $3,800.00 / $7,382.61	Professional		$2,937.18	$3,800.00	$7,382.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $11,441.20	Facility		$64.40	$100.00	$11,441.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,987.24 / $2,851.41 / $6,413.07	Professional		$1,987.24	$2,851.41	$6,413.07
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 $2,380.77 / $3,195.44 / $6,957.82	Professional		$2,380.77	$3,195.44	$6,957.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.20 / $2,957.29 / $3,844.44	Professional		$1,954.20	$2,957.29	$3,844.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,489.29 / $3,494.29 / $6,272.11	Professional		$2,489.29	$3,494.29	$6,272.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,073.34 / $28,681.11	Facility		$55.00	$28,073.34	$28,681.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,658.64 / $20,077.91 / $23,441.70	Professional		$19,658.64	$20,077.91	$23,441.70
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 $2,567.41 / $3,368.04 / $4,920.88	Facility		$2,567.41	$3,368.04	$4,920.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,420.98 / $3,386.10 / $7,116.24	Professional		$2,420.98	$3,386.10	$7,116.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,888.43 / $8,888.43 / $8,888.43	Professional		$8,888.43	$8,888.43	$8,888.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,481.14 / $2,931.30 / $3,696.61	Professional		$2,481.14	$2,931.30	$3,696.61
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 $2,055.92 / $2,773.39 / $5,899.82	Professional		$2,055.92	$2,773.39	$5,899.82