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 $1,375.54 / $1,662.52 / $8,708.92	Professional		$1,375.54	$1,662.52	$8,708.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,077.00 / $19,951.00	Facility		$3,028.00	$10,077.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,786.79 / $2,326.80 / $4,703.78	Professional		$1,786.79	$2,326.80	$4,703.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,886.73	Facility		$66.00	$100.00	$11,886.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,259.85 / $1,819.32 / $4,112.74	Professional		$1,259.85	$1,819.32	$4,112.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $27,335.78 / $48,959.61	Facility		$3,203.00	$27,335.78	$48,959.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.60 / $2,069.23 / $4,573.35	Professional		$1,587.60	$2,069.23	$4,573.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.19 / $1,893.43 / $2,556.13	Professional		$1,180.19	$1,893.43	$2,556.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.23 / $2,114.52 / $3,854.36	Professional		$1,508.23	$2,114.52	$3,854.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,911.44 / $26,542.00 / $78,951.35	Facility		$11,911.44	$26,542.00	$78,951.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,304.65 / $16,304.65 / $16,304.65	Professional		$16,304.65	$16,304.65	$16,304.65
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 $1,696.55 / $2,119.78 / $3,173.44	Facility		$1,696.55	$2,119.78	$3,173.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,601.53 / $2,180.73 / $4,425.99	Professional		$1,601.53	$2,180.73	$4,425.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,403.72 / $5,403.72 / $5,403.72	Professional		$5,403.72	$5,403.72	$5,403.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,529.69 / $1,770.29 / $2,232.46	Professional		$1,529.69	$1,770.29	$2,232.46
United Facility/Professional Facility Modifier Low / Median / High Price $6,783.00 / $11,707.00 / $25,650.00	Facility		$6,783.00	$11,707.00	$25,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.92 / $1,719.41 / $4,055.23	Professional		$1,304.92	$1,719.41	$4,055.23