Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.77 / $8,090.00 / $18,309.00	Facility		$2,398.77	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,056.40 / $2,398.77 / $13,090.70	Professional		$2,056.40	$2,398.77	$13,090.70
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 $2,776.45 / $3,504.25 / $6,996.66	Professional		$2,776.45	$3,504.25	$6,996.66
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 $1,985.44 / $2,843.71 / $6,319.93	Professional		$1,985.44	$2,843.71	$6,319.93
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 $2,378.73 / $3,060.75 / $6,627.67	Professional		$2,378.73	$3,060.75	$6,627.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.80 / $2,233.32 / $3,478.18	Professional		$1,475.80	$2,233.32	$3,478.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,246.67 / $3,155.19 / $5,656.95	Professional		$2,246.67	$3,155.19	$5,656.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,469.44 / $22,939.04	Facility		$55.00	$22,469.44	$22,939.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,227.73 / $23,227.73 / $23,227.73	Professional		$23,227.73	$23,227.73	$23,227.73
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 $2,550.33 / $3,177.54 / $4,583.37	Facility		$2,550.33	$3,177.54	$4,583.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,405.09 / $3,190.43 / $6,577.02	Professional		$2,405.09	$3,190.43	$6,577.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,122.51 / $8,122.51 / $8,122.51	Professional		$8,122.51	$8,122.51	$8,122.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $2,526.07 / $3,087.41	Professional		$1,918.54	$2,526.07	$3,087.41
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 $1,894.42 / $2,554.83 / $5,967.33	Professional		$1,894.42	$2,554.83	$5,967.33