Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,384.00 / $19,368.00	Facility		$2,421.00	$9,384.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.45 / $1,639.36 / $8,969.08	Professional		$1,415.45	$1,639.36	$8,969.08
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 $1,851.57 / $2,363.94 / $4,719.91	Professional		$1,851.57	$2,363.94	$4,719.91
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 $1,330.48 / $1,909.06 / $4,343.72	Professional		$1,330.48	$1,909.06	$4,343.72
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 $1,599.12 / $2,044.00 / $4,503.04	Professional		$1,599.12	$2,044.00	$4,503.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,914.43 / $2,409.60	Professional		$1,265.08	$1,914.43	$2,409.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,568.64 / $2,178.66 / $3,903.61	Professional		$1,568.64	$2,178.66	$3,903.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,446.32 / $15,766.96	Facility		$55.00	$15,446.32	$15,766.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,970.61 / $17,970.61 / $17,970.61	Professional		$17,970.61	$17,970.61	$17,970.61
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 $1,757.04 / $2,180.92 / $3,282.50	Facility		$1,757.04	$2,180.92	$3,282.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,599.45 / $2,166.05 / $4,503.04	Professional		$1,599.45	$2,166.05	$4,503.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,565.16 / $5,565.16 / $5,565.16	Professional		$5,565.16	$5,565.16	$5,565.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,555.73 / $1,897.61 / $2,393.04	Professional		$1,555.73	$1,897.61	$2,393.04
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 $1,322.47 / $1,730.40 / $3,748.47	Professional		$1,322.47	$1,730.40	$3,748.47