Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,756.00 / $19,860.00	Facility		$2,387.00	$8,756.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.81 / $1,651.23 / $9,141.49	Professional		$1,421.81	$1,651.23	$9,141.49
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 $1,847.73 / $2,442.84 / $4,788.66	Professional		$1,847.73	$2,442.84	$4,788.66
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 $1,175.79 / $1,698.40 / $3,865.96	Professional		$1,175.79	$1,698.40	$3,865.96
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 $1,545.34 / $2,122.94 / $4,660.09	Professional		$1,545.34	$2,122.94	$4,660.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,690.20 / $2,472.61	Professional		$1,116.90	$1,690.20	$2,472.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,579.51 / $2,215.92 / $4,036.52	Professional		$1,579.51	$2,215.92	$4,036.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,574.48 / $15,901.92	Facility		$55.00	$15,574.48	$15,901.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,973.86 / $14,973.86 / $14,973.86	Professional		$14,973.86	$14,973.86	$14,973.86
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 $1,749.91 / $2,188.42 / $3,386.26	Facility		$1,749.91	$2,188.42	$3,386.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,570.83 / $2,194.46 / $4,544.95	Professional		$1,570.83	$2,194.46	$4,544.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,672.13 / $5,672.13 / $5,672.13	Professional		$5,672.13	$5,672.13	$5,672.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,451.97 / $1,797.80 / $2,197.32	Professional		$1,451.97	$1,797.80	$2,197.32
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 $1,334.35 / $1,735.31 / $3,835.32	Professional		$1,334.35	$1,735.31	$3,835.32