Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.52 / $8,090.00 / $18,309.00	Facility		$2,784.52	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,317.10 / $2,596.80 / $13,574.40	Professional		$2,317.10	$2,596.80	$13,574.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $21,865.69	Facility		$4,314.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,085.28 / $3,890.11 / $7,314.64	Professional		$3,085.28	$3,890.11	$7,314.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $11,616.47	Facility		$64.00	$100.00	$11,616.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,404.38 / $3,436.47 / $7,483.74	Professional		$2,404.38	$3,436.47	$7,483.74
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 $2,575.96 / $3,348.75 / $7,001.40	Professional		$2,575.96	$3,348.75	$7,001.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.22 / $2,041.76 / $3,625.34	Professional		$1,349.22	$2,041.76	$3,625.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,347.82 / $3,293.26 / $5,897.61	Professional		$2,347.82	$3,293.26	$5,897.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,489.68 / $24,144.96	Facility		$55.00	$23,489.68	$24,144.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,619.68 / $27,619.68 / $27,619.68	Professional		$27,619.68	$27,619.68	$27,619.68
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 $2,701.46 / $3,477.55 / $5,129.10	Facility		$2,701.46	$3,477.55	$5,129.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,623.98 / $3,506.91 / $6,901.52	Professional		$2,623.98	$3,506.91	$6,901.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,422.70 / $8,422.70 / $8,422.70	Professional		$8,422.70	$8,422.70	$8,422.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,753.98 / $2,428.59 / $3,219.18	Professional		$1,753.98	$2,428.59	$3,219.18
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 $2,088.53 / $2,805.03 / $6,380.96	Professional		$2,088.53	$2,805.03	$6,380.96