Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,386.00 / $19,368.00	Facility		$2,421.00	$9,386.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,223.38 / $8,559.53	Professional		$2,001.22	$2,223.38	$8,559.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,710.46 / $7,270.00 / $14,981.00	Facility		$2,710.46	$7,270.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,439.19 / $3,187.49 / $6,176.02	Professional		$2,439.19	$3,187.49	$6,176.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,679.26 / $2,404.31 / $5,489.73	Professional		$1,679.26	$2,404.31	$5,489.73
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 $2,091.04 / $2,760.31 / $5,876.73	Professional		$2,091.04	$2,760.31	$5,876.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.80 / $2,233.32 / $3,120.45	Professional		$1,475.80	$2,233.32	$3,120.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,009.86 / $2,824.14 / $5,213.47	Professional		$2,009.86	$2,824.14	$5,213.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,049.20 / $20,496.00	Facility		$55.00	$20,049.20	$20,496.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,301.40 / $19,652.56 / $19,652.56	Professional		$19,301.40	$19,652.56	$19,652.56
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 $2,277.00 / $2,828.52 / $4,245.60	Facility		$2,277.00	$2,828.52	$4,245.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,133.71 / $2,850.53 / $5,799.09	Professional		$2,133.71	$2,850.53	$5,799.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.02 / $7,244.02 / $7,244.02	Professional		$7,244.02	$7,244.02	$7,244.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $2,266.42 / $2,791.65	Professional		$1,918.54	$2,266.42	$2,791.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,783.00 / $11,624.00 / $24,889.00	Facility		$6,783.00	$11,624.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,736.47 / $2,318.05 / $4,928.00	Professional		$1,736.47	$2,318.05	$4,928.00