Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $18,309.00	Facility		$1,992.00	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.67 / $1,987.91 / $11,175.80	Professional		$1,738.67	$1,987.91	$11,175.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,050.00 / $21,514.00	Facility		$3,908.00	$10,050.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,325.36 / $2,934.91 / $5,800.07	Professional		$2,325.36	$2,934.91	$5,800.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $11,441.20	Facility		$64.40	$100.00	$11,441.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,640.35 / $2,365.09 / $5,362.52	Professional		$1,640.35	$2,365.09	$5,362.52
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 $1,991.15 / $2,529.64 / $5,544.75	Professional		$1,991.15	$2,529.64	$5,544.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.80 / $2,233.32 / $2,984.20	Professional		$1,475.80	$2,233.32	$2,984.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,924.76 / $2,703.88 / $4,846.78	Professional		$1,924.76	$2,703.88	$4,846.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,224.64 / $19,616.08	Facility		$55.00	$19,224.64	$19,616.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,567.24 / $19,923.77 / $19,923.77	Professional		$19,567.24	$19,923.77	$19,923.77
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 $2,182.71 / $2,686.15 / $3,948.00	Facility		$2,182.71	$2,686.15	$3,948.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,998.47 / $2,683.29 / $5,544.75	Professional		$1,998.47	$2,683.29	$5,544.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,934.36 / $6,934.36 / $6,934.36	Professional		$6,934.36	$6,934.36	$6,934.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $2,213.69 / $2,791.65	Professional		$1,918.54	$2,213.69	$2,791.65
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 $1,620.48 / $2,125.34 / $4,659.10	Professional		$1,620.48	$2,125.34	$4,659.10