Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,314.41 / $18,827.00	Facility		$2,197.85	$8,314.41	$18,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.89 / $1,480.98 / $5,827.39	Professional		$1,297.89	$1,480.98	$5,827.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,046.00 / $22,647.86	Facility		$4,446.00	$11,046.00	$22,647.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,680.24 / $2,205.53 / $4,399.39	Professional		$1,680.24	$2,205.53	$4,399.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,714.18	Facility		$64.00	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,111.01 / $1,595.93 / $3,635.17	Professional		$1,111.01	$1,595.93	$3,635.17
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 $1,439.58 / $1,956.56 / $4,296.99	Professional		$1,439.58	$1,956.56	$4,296.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,403.99 / $2,254.11	Professional		$927.77	$1,403.99	$2,254.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.04 / $2,018.48 / $3,726.78	Professional		$1,439.04	$2,018.48	$3,726.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,181.68 / $14,476.40	Facility		$55.00	$14,181.68	$14,476.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,677.74 / $13,677.74 / $13,677.74	Professional		$13,677.74	$13,677.74	$13,677.74
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 $1,598.93 / $2,005.04 / $3,055.00	Facility		$1,598.93	$2,005.04	$3,055.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,439.81 / $2,008.59 / $4,171.14	Professional		$1,439.81	$2,008.59	$4,171.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,158.95 / $5,158.95 / $5,158.95	Professional		$5,158.95	$5,158.95	$5,158.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,206.09 / $1,637.99 / $2,003.17	Professional		$1,206.09	$1,637.99	$2,003.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.13 / $1,617.49 / $3,496.03	Professional		$1,216.13	$1,617.49	$3,496.03