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 $1,443.38 / $1,673.25 / $9,159.02	Professional		$1,443.38	$1,673.25	$9,159.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $10,474.00 / $21,865.69	Facility		$4,208.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,867.20 / $2,430.66 / $4,814.16	Professional		$1,867.20	$2,430.66	$4,814.16
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 $1,349.32 / $1,942.94 / $4,411.12	Professional		$1,349.32	$1,942.94	$4,411.12
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 $1,657.15 / $2,145.15 / $4,671.35	Professional		$1,657.15	$2,145.15	$4,671.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.70 / $1,968.60 / $2,524.73	Professional		$1,334.70	$1,968.60	$2,524.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,602.78 / $2,226.09 / $3,989.13	Professional		$1,602.78	$2,226.09	$3,989.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,794.00 / $16,103.52	Facility		$55.00	$15,794.00	$16,103.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,470.88 / $12,714.80 / $14,731.43	Professional		$12,470.88	$12,714.80	$14,731.43
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 $1,792.53 / $2,209.78 / $2,901.18	Facility		$1,792.53	$2,209.78	$2,901.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.74 / $2,216.16 / $4,610.20	Professional		$1,667.74	$2,216.16	$4,610.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,683.00 / $5,683.00 / $5,683.00	Professional		$5,683.00	$5,683.00	$5,683.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,588.70 / $2,002.04 / $2,524.73	Professional		$1,588.70	$2,002.04	$2,524.73
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 $1,363.78 / $1,771.55 / $3,866.23	Professional		$1,363.78	$1,771.55	$3,866.23