Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,665.64 / $8,090.00 / $18,309.00	Facility		$2,665.64	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,348.98 / $2,694.67 / $14,719.80	Professional		$2,348.98	$2,694.67	$14,719.80
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 $3,212.31 / $4,042.79 / $7,929.14	Professional		$3,212.31	$4,042.79	$7,929.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $15,838.91	Facility		$64.00	$100.00	$15,838.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,363.54 / $3,417.84 / $7,447.83	Professional		$2,363.54	$3,417.84	$7,447.83
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 $2,693.76 / $3,483.04 / $7,536.43	Professional		$2,693.76	$3,483.04	$7,536.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.22 / $2,041.76 / $3,923.34	Professional		$1,349.22	$2,041.76	$3,923.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,543.30 / $3,566.76 / $6,388.21	Professional		$2,543.30	$3,566.76	$6,388.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,467.04 / $26,178.32	Facility		$55.00	$25,467.04	$26,178.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,079.30 / $32,079.30 / $32,079.30	Professional		$32,079.30	$32,079.30	$32,079.30
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 $2,903.73 / $3,673.66 / $5,468.20	Facility		$2,903.73	$3,673.66	$5,468.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,770.30 / $3,628.16 / $7,455.75	Professional		$2,770.30	$3,628.16	$7,455.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,133.35 / $9,133.35 / $9,133.35	Professional		$9,133.35	$9,133.35	$9,133.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,753.98 / $2,533.62 / $3,483.73	Professional		$1,753.98	$2,533.62	$3,483.73
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 $2,248.67 / $2,994.05 / $6,219.68	Professional		$2,248.67	$2,994.05	$6,219.68