Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,169.50 / $8,090.00 / $18,309.00	Facility		$2,169.50	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.10 / $2,221.23 / $12,165.10	Professional		$1,918.10	$2,221.23	$12,165.10
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 $2,586.46 / $3,307.86 / $6,539.77	Professional		$2,586.46	$3,307.86	$6,539.77
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 $1,831.05 / $2,629.34 / $5,851.86	Professional		$1,831.05	$2,629.34	$5,851.86
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 $2,243.85 / $2,867.15 / $6,239.30	Professional		$2,243.85	$2,867.15	$6,239.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.80 / $2,233.32 / $3,239.39	Professional		$1,475.80	$2,233.32	$3,239.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,091.07 / $2,937.04 / $5,265.37	Professional		$2,091.07	$2,937.04	$5,265.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,901.20 / $21,330.40	Facility		$55.00	$20,901.20	$21,330.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,431.33 / $21,431.33 / $21,431.33	Professional		$21,431.33	$21,431.33	$21,431.33
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 $2,361.65 / $2,969.75 / $4,355.38	Facility		$2,361.65	$2,969.75	$4,355.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,278.11 / $2,962.04 / $6,115.19	Professional		$2,278.11	$2,962.04	$6,115.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,548.23 / $7,548.23 / $7,548.23	Professional		$7,548.23	$7,548.23	$7,548.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $2,352.67 / $2,875.49	Professional		$1,918.54	$2,352.67	$2,875.49
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 $1,814.13 / $2,411.84 / $5,010.02	Professional		$1,814.13	$2,411.84	$5,010.02