Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.65 / $10,051.00 / $20,509.00	Facility		$1,898.65	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.09 / $1,978.66 / $12,003.10	Professional		$1,677.09	$1,978.66	$12,003.10
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 $2,281.14 / $2,870.46 / $5,705.40	Professional		$2,281.14	$2,870.46	$5,705.40
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 $1,522.24 / $2,196.48 / $5,003.08	Professional		$1,522.24	$2,196.48	$5,003.08
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 $1,837.92 / $2,523.64 / $5,816.37	Professional		$1,837.92	$2,523.64	$5,816.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.84 / $2,354.44 / $3,239.46	Professional		$1,555.84	$2,354.44	$3,239.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,065.94 / $2,904.37 / $5,203.70	Professional		$2,065.94	$2,904.37	$5,203.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,420.48 / $20,864.72	Facility		$55.00	$20,420.48	$20,864.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,626.21 / $24,626.21 / $24,626.21	Professional		$24,626.21	$24,626.21	$24,626.21
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 $2,143.08 / $2,797.36 / $4,390.30	Facility		$2,143.08	$2,797.36	$4,390.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,867.29 / $2,717.01 / $5,830.99	Professional		$1,867.29	$2,717.01	$5,830.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,447.71 / $7,447.71 / $7,447.71	Professional		$7,447.71	$7,447.71	$7,447.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,022.59 / $2,353.52 / $2,943.06	Professional		$2,022.59	$2,353.52	$2,943.06
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 $1,644.25 / $2,170.41 / $5,082.49	Professional		$1,644.25	$2,170.41	$5,082.49