Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,833.00 / $21,073.50	Facility		$2,843.00	$9,833.00	$21,073.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.14 / $1,950.31 / $9,830.77	Professional		$1,615.14	$1,950.31	$9,830.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,652.00 / $20,040.00 / $51,698.00	Facility		$5,652.00	$20,040.00	$51,698.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,109.48 / $2,690.19 / $5,298.80	Professional		$2,109.48	$2,690.19	$5,298.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $8,337.77	Facility		$65.80	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,418.68 / $2,026.68 / $4,617.70	Professional		$1,418.68	$2,026.68	$4,617.70
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 $1,819.48 / $2,361.38 / $5,022.70	Professional		$1,819.48	$2,361.38	$5,022.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.20 / $2,070.48 / $2,655.38	Professional		$1,368.20	$2,070.48	$2,655.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.42 / $2,457.26 / $4,430.42	Professional		$1,778.42	$2,457.26	$4,430.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,428.03 / $24,990.68	Facility		$55.00	$24,428.03	$24,990.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,694.52 / $13,963.92 / $17,701.28	Professional		$13,694.52	$13,963.92	$17,701.28
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 $2,008.47 / $2,435.21 / $3,398.88	Facility		$2,008.47	$2,435.21	$3,398.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,840.90 / $2,466.94 / $5,046.33	Professional		$1,840.90	$2,466.94	$5,046.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,099.80 / $6,099.80 / $6,099.80	Professional		$6,099.80	$6,099.80	$6,099.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,709.76 / $2,052.30 / $2,588.12	Professional		$1,709.76	$2,052.30	$2,588.12
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $43,423.00	Facility		$8,830.00	$18,191.00	$43,423.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.23 / $2,022.99 / $4,189.70	Professional		$1,525.23	$2,022.99	$4,189.70