Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,135.21 / $8,090.00 / $18,309.00	Facility		$2,135.21	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.13 / $2,004.69 / $10,221.29	Professional		$1,765.13	$2,004.69	$10,221.29
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 $2,228.38 / $2,896.62 / $5,515.21	Professional		$2,228.38	$2,896.62	$5,515.21
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 $1,710.49 / $2,484.67 / $5,431.39	Professional		$1,710.49	$2,484.67	$5,431.39
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 $2,036.40 / $2,625.09 / $5,333.06	Professional		$2,036.40	$2,625.09	$5,333.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $2,751.61	Professional		$1,096.42	$1,659.22	$2,751.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,774.45 / $2,491.03 / $4,458.14	Professional		$1,774.45	$2,491.03	$4,458.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,685.75 / $18,191.12	Facility		$55.00	$17,685.75	$18,191.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,633.29 / $19,633.29 / $19,633.29	Professional		$19,633.29	$19,633.29	$19,633.29
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 $2,032.98 / $2,625.95 / $3,869.12	Facility		$2,032.98	$2,625.95	$3,869.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,026.43 / $2,676.20 / $5,244.77	Professional		$2,026.43	$2,676.20	$5,244.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,342.14 / $6,342.14 / $6,342.14	Professional		$6,342.14	$6,342.14	$6,342.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,425.35 / $1,973.56 / $2,443.60	Professional		$1,425.35	$1,973.56	$2,443.60
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 $1,569.13 / $2,083.13 / $4,541.38	Professional		$1,569.13	$2,083.13	$4,541.38