Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,871.00 / $21,073.50	Facility		$2,843.00	$9,871.00	$21,073.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,830.10 / $2,129.09 / $11,496.60	Professional		$1,830.10	$2,129.09	$11,496.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $20,059.00 / $51,698.00	Facility		$5,863.00	$20,059.00	$51,698.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,513.44 / $3,172.31 / $6,227.22	Professional		$2,513.44	$3,172.31	$6,227.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,539.24	Facility		$65.80	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,750.95 / $2,506.56 / $5,573.53	Professional		$1,750.95	$2,506.56	$5,573.53
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 $2,118.35 / $2,744.04 / $5,886.80	Professional		$2,118.35	$2,744.04	$5,886.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.01 / $2,465.09 / $3,126.87	Professional		$1,653.01	$2,465.09	$3,126.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,996.25 / $2,801.44 / $5,028.83	Professional		$1,996.25	$2,801.44	$5,028.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $35,023.24 / $35,762.16	Facility		$55.00	$35,023.24	$35,762.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,191.92 / $21,191.92 / $21,191.92	Professional		$21,191.92	$21,191.92	$21,191.92
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 $2,276.85 / $2,857.29 / $4,151.06	Facility		$2,276.85	$2,857.29	$4,151.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,186.19 / $2,842.06 / $5,842.94	Professional		$2,186.19	$2,842.06	$5,842.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,133.43 / $7,133.43 / $7,133.43	Professional		$7,133.43	$7,133.43	$7,133.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,988.63 / $2,479.52 / $3,126.87	Professional		$1,988.63	$2,479.52	$3,126.87
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 $1,766.67 / $2,311.98 / $4,766.18	Professional		$1,766.67	$2,311.98	$4,766.18