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 $1,535.98 / $1,704.91 / $9,100.45	Professional		$1,535.98	$1,704.91	$9,100.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $12,567.00 / $27,617.07	Facility		$4,667.00	$12,567.00	$27,617.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.07 / $2,564.94 / $4,947.56	Professional		$2,037.07	$2,564.94	$4,947.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,935.02	Facility		$64.40	$100.00	$1,935.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,358.27 / $1,940.39 / $4,344.62	Professional		$1,358.27	$1,940.39	$4,344.62
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 $1,755.02 / $2,281.07 / $4,764.22	Professional		$1,755.02	$2,281.07	$4,764.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.69 / $1,849.18 / $2,311.48	Professional		$1,525.69	$1,849.18	$2,311.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.53 / $2,106.29 / $3,787.85	Professional		$1,516.53	$2,106.29	$3,787.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,533.21 / $25,198.81	Facility		$55.00	$24,533.21	$25,198.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,832.64 / $12,150.24 / $14,365.35	Professional		$11,832.64	$12,150.24	$14,365.35
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 $1,672.31 / $2,083.84 / $2,817.19	Facility		$1,672.31	$2,083.84	$2,817.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,755.16 / $2,352.32 / $4,619.05	Professional		$1,755.16	$2,352.32	$4,619.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,646.67 / $5,646.67 / $5,646.67	Professional		$5,646.67	$5,646.67	$5,646.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,491.07 / $1,983.39 / $2,593.67	Professional		$1,491.07	$1,983.39	$2,593.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,372.85 / $1,892.03 / $3,790.10	Professional		$1,372.85	$1,892.03	$3,790.10