Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,042.93 / $19,368.00	Facility		$2,421.00	$9,042.93	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.79 / $1,467.40 / $8,024.12	Professional		$1,244.79	$1,467.40	$8,024.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,869.27 / $20,248.00	Facility		$3,242.00	$8,869.27	$20,248.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,637.70 / $2,124.10 / $4,215.30	Professional		$1,637.70	$2,124.10	$4,215.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,033.91	Facility		$64.40	$100.00	$10,033.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,185.49 / $1,703.92 / $3,875.54	Professional		$1,185.49	$1,703.92	$3,875.54
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 $1,388.40 / $1,867.18 / $3,975.76	Professional		$1,388.40	$1,867.18	$3,975.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.26 / $1,730.33 / $2,335.94	Professional		$1,257.26	$1,730.33	$2,335.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.76 / $1,953.84 / $3,500.24	Professional		$1,406.76	$1,953.84	$3,500.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,835.20 / $14,127.84	Facility		$55.00	$13,835.20	$14,127.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,972.78 / $15,972.78 / $15,972.78	Professional		$15,972.78	$15,972.78	$15,972.78
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 $1,573.64 / $1,948.65 / $2,918.36	Facility		$1,573.64	$1,948.65	$2,918.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,452.31 / $1,947.74 / $3,972.55	Professional		$1,452.31	$1,947.74	$3,972.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,978.81 / $4,978.81 / $4,978.81	Professional		$4,978.81	$4,978.81	$4,978.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,396.49 / $1,885.89 / $2,378.25	Professional		$1,396.49	$1,885.89	$2,378.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,667.00 / $11,420.00 / $24,889.00	Facility		$6,667.00	$11,420.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,181.92 / $1,559.68 / $3,388.85	Professional		$1,181.92	$1,559.68	$3,388.85