Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $18,309.00	Facility		$1,992.00	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.46 / $1,660.88 / $8,637.31	Professional		$1,380.46	$1,660.88	$8,637.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,848.60 / $2,337.46 / $4,663.41	Professional		$1,848.60	$2,337.46	$4,663.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,351.78 / $1,948.65 / $4,302.92	Professional		$1,351.78	$1,948.65	$4,302.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $7,261.61 / $13,005.87	Facility		$2,277.00	$7,261.61	$13,005.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.24 / $2,073.60 / $4,637.99	Professional		$1,627.24	$2,073.60	$4,637.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $1,864.32 / $2,516.83	Professional		$1,230.82	$1,864.32	$2,516.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.68 / $2,106.50 / $3,768.86	Professional		$1,516.68	$2,106.50	$3,768.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,079.60 / $20,973.00	Facility		$55.00	$12,079.60	$20,973.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,240.27 / $16,240.27 / $16,240.27	Professional		$16,240.27	$16,240.27	$16,240.27
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 $1,705.20 / $2,135.32 / $3,220.10	Facility		$1,705.20	$2,135.32	$3,220.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,650.21 / $2,180.69 / $4,428.47	Professional		$1,650.21	$2,180.69	$4,428.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,359.30 / $5,359.30 / $5,359.30	Professional		$5,359.30	$5,359.30	$5,359.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,505.19 / $1,846.24 / $2,328.25	Professional		$1,505.19	$1,846.24	$2,328.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.52 / $1,734.51 / $4,010.99	Professional		$1,283.52	$1,734.51	$4,010.99