Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,132.17 / $10,051.00 / $20,509.00	Facility		$2,132.17	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.36 / $2,141.91 / $12,969.30	Professional		$1,887.36	$2,141.91	$12,969.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,673.00 / $19,574.00	Facility		$3,145.00	$9,673.00	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,460.92 / $3,190.01 / $6,380.07	Professional		$2,460.92	$3,190.01	$6,380.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,799.85 / $2,604.12 / $5,897.19	Professional		$1,799.85	$2,604.12	$5,897.19
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 $2,090.91 / $2,821.80 / $6,275.36	Professional		$2,090.91	$2,821.80	$6,275.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.20 / $2,513.89 / $3,490.25	Professional		$1,661.20	$2,513.89	$3,490.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,229.60 / $3,136.22 / $5,615.92	Professional		$2,229.60	$3,136.22	$5,615.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,109.68 / $33,817.44	Facility		$55.00	$33,109.68	$33,817.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,636.00 / $18,636.00 / $20,577.45	Professional		$18,636.00	$18,636.00	$20,577.45
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 $2,446.88 / $3,063.23 / $4,507.71	Facility		$2,446.88	$3,063.23	$4,507.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,160.02 / $2,971.86 / $6,303.73	Professional		$2,160.02	$2,971.86	$6,303.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,047.18 / $8,047.18 / $8,047.18	Professional		$8,047.18	$8,047.18	$8,047.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,159.56 / $2,535.59 / $3,142.36	Professional		$2,159.56	$2,535.59	$3,142.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,827.45 / $2,455.67 / $5,763.09	Professional		$1,827.45	$2,455.67	$5,763.09