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 $1,627.99 / $1,863.07 / $9,501.09	Professional		$1,627.99	$1,863.07	$9,501.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,825.00 / $23,587.93	Facility		$4,667.00	$11,825.00	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,076.48 / $2,807.76 / $5,142.10	Professional		$2,076.48	$2,807.76	$5,142.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $10,117.12	Facility		$64.00	$100.00	$10,117.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,634.99 / $2,379.03 / $5,125.89	Professional		$1,634.99	$2,379.03	$5,125.89
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 $1,888.40 / $2,441.03 / $5,167.89	Professional		$1,888.40	$2,441.03	$5,167.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,556.13	Professional		$1,011.91	$1,531.32	$2,556.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.08 / $2,313.69 / $4,140.58	Professional		$1,648.08	$2,313.69	$4,140.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,423.12 / $16,900.40	Facility		$55.00	$16,423.12	$16,900.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,236.43 / $18,236.43 / $18,236.43	Professional		$18,236.43	$18,236.43	$18,236.43
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 $1,907.19 / $2,394.26 / $3,539.30	Facility		$1,907.19	$2,394.26	$3,539.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,888.40 / $2,513.48 / $4,872.58	Professional		$1,888.40	$2,513.48	$4,872.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,895.25 / $5,895.25 / $5,895.25	Professional		$5,895.25	$5,895.25	$5,895.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,315.48 / $1,821.44 / $2,270.02	Professional		$1,315.48	$1,821.44	$2,270.02
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 $1,458.25 / $1,984.60 / $4,409.74	Professional		$1,458.25	$1,984.60	$4,409.74