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 $1,345.41 / $1,626.91 / $8,643.04	Professional		$1,345.41	$1,626.91	$8,643.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $21,865.69	Facility		$4,314.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.22 / $2,321.15 / $4,592.35	Professional		$1,699.22	$2,321.15	$4,592.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,208.49	Facility		$64.40	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,315.06 / $1,914.70 / $4,266.33	Professional		$1,315.06	$1,914.70	$4,266.33
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 $1,549.49 / $2,014.34 / $4,459.05	Professional		$1,549.49	$2,014.34	$4,459.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.17 / $1,843.44 / $2,313.35	Professional		$1,218.17	$1,843.44	$2,313.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,488.00 / $2,059.04 / $3,687.33	Professional		$1,488.00	$2,059.04	$3,687.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,426.72 / $14,754.40	Facility		$55.00	$14,426.72	$14,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,441.12 / $15,441.12 / $15,441.12	Professional		$15,441.12	$15,441.12	$15,441.12
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 $1,653.33 / $2,078.94 / $3,147.70	Facility		$1,653.33	$2,078.94	$3,147.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,571.96 / $2,094.46 / $4,320.60	Professional		$1,571.96	$2,094.46	$4,320.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,362.84 / $5,362.84 / $5,362.84	Professional		$5,362.84	$5,362.84	$5,362.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,495.24 / $1,827.25 / $2,304.31	Professional		$1,495.24	$1,827.25	$2,304.31
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 $1,257.39 / $1,692.26 / $3,603.32	Professional		$1,257.39	$1,692.26	$3,603.32