Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,879.00 / $21,355.00	Facility		$2,843.00	$9,879.00	$21,355.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.14 / $1,924.80 / $10,505.10	Professional		$1,688.14	$1,924.80	$10,505.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,254.00 / $16,253.00 / $49,214.59	Facility		$5,254.00	$16,253.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,308.46 / $2,891.17 / $5,708.86	Professional		$2,308.46	$2,891.17	$5,708.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $10,063.87	Facility		$65.80	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,611.56 / $2,307.40 / $5,129.83	Professional		$1,611.56	$2,307.40	$5,129.83
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 $1,992.29 / $2,516.87 / $5,352.76	Professional		$1,992.29	$2,516.87	$5,352.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.34 / $2,067.67 / $2,806.30	Professional		$1,366.34	$2,067.67	$2,806.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $2,553.31 / $4,629.05	Professional		$1,820.66	$2,553.31	$4,629.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,953.88 / $32,627.00	Facility		$55.00	$31,953.88	$32,627.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,269.46 / $18,269.46 / $18,456.00	Professional		$18,269.46	$18,269.46	$18,456.00
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 $2,077.94 / $2,606.28 / $3,768.00	Facility		$2,077.94	$2,606.28	$3,768.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,006.34 / $2,595.42 / $5,331.10	Professional		$2,006.34	$2,595.42	$5,331.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,518.23 / $6,518.23 / $6,518.23	Professional		$6,518.23	$6,518.23	$6,518.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,776.24 / $2,049.51 / $2,584.60	Professional		$1,776.24	$2,049.51	$2,584.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,610.50 / $2,142.00 / $4,448.37	Professional		$1,610.50	$2,142.00	$4,448.37