Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,008.00 / $19,368.00	Facility		$2,616.00	$9,008.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,566.54 / $1,886.41 / $7,587.59	Professional		$1,566.54	$1,886.41	$7,587.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,673.00 / $19,574.00	Facility		$3,145.00	$9,673.00	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,044.34 / $2,606.07 / $5,112.39	Professional		$2,044.34	$2,606.07	$5,112.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,356.51 / $1,946.61 / $4,455.58	Professional		$1,356.51	$1,946.61	$4,455.58
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 $1,727.57 / $2,354.19 / $5,308.44	Professional		$1,727.57	$2,354.19	$5,308.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.22 / $2,041.76 / $2,857.81	Professional		$1,349.22	$2,041.76	$2,857.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,907.62 / $2,641.02 / $4,746.60	Professional		$1,907.62	$2,641.02	$4,746.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,995.43 / $19,537.04	Facility		$55.00	$18,995.43	$19,537.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,610.56 / $15,018.16 / $18,890.63	Professional		$14,610.56	$15,018.16	$18,890.63
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 $2,043.08 / $2,589.06 / $3,559.96	Facility		$2,043.08	$2,589.06	$3,559.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,772.44 / $2,485.15 / $5,378.12	Professional		$1,772.44	$2,485.15	$5,378.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,523.97 / $6,523.97 / $6,523.97	Professional		$6,523.97	$6,523.97	$6,523.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,753.98 / $2,079.35 / $2,552.19	Professional		$1,753.98	$2,079.35	$2,552.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.00 / $11,420.00 / $24,889.00	Facility		$6,456.00	$11,420.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.76 / $1,988.58 / $4,483.47	Professional		$1,566.76	$1,988.58	$4,483.47