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 $1,588.72 / $1,792.85 / $10,753.00	Professional		$1,588.72	$1,792.85	$10,753.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,046.00 / $22,647.86	Facility		$4,446.00	$11,046.00	$22,647.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.79 / $2,751.76 / $5,444.08	Professional		$2,037.79	$2,751.76	$5,444.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,296.75	Facility		$64.40	$100.00	$7,296.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,469.88 / $2,122.11 / $4,800.70	Professional		$1,469.88	$2,122.11	$4,800.70
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 $1,785.07 / $2,373.94 / $5,433.57	Professional		$1,785.07	$2,373.94	$5,433.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.09 / $2,333.59 / $3,007.85	Professional		$1,590.09	$2,333.59	$3,007.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.85 / $2,607.01 / $4,674.96	Professional		$1,855.85	$2,607.01	$4,674.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,454.80 / $28,051.08	Facility		$55.00	$27,454.80	$28,051.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,283.99 / $29,283.99 / $29,283.99	Professional		$29,283.99	$29,283.99	$29,283.99
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 $1,986.39 / $2,513.46 / $3,972.78	Facility		$1,986.39	$2,513.46	$3,972.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,815.53 / $2,520.07 / $5,352.46	Professional		$1,815.53	$2,520.07	$5,352.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,672.06 / $6,672.06 / $6,672.06	Professional		$6,672.06	$6,672.06	$6,672.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,883.88 / $2,385.14 / $3,007.85	Professional		$1,883.88	$2,385.14	$3,007.85
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 $1,487.23 / $2,000.22 / $4,467.49	Professional		$1,487.23	$2,000.22	$4,467.49