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 $1,814.53 / $2,098.01 / $11,252.90	Professional		$1,814.53	$2,098.01	$11,252.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $14,419.00 / $49,214.59	Facility		$4,667.00	$14,419.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,486.71 / $3,138.56 / $6,090.59	Professional		$2,486.71	$3,138.56	$6,090.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,132.39	Facility		$65.80	$100.00	$11,132.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,714.80 / $2,449.71 / $5,458.47	Professional		$1,714.80	$2,449.71	$5,458.47
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 $2,140.78 / $2,701.91 / $5,779.01	Professional		$2,140.78	$2,701.91	$5,779.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.03 / $2,389.23 / $3,225.47	Professional		$1,720.03	$2,389.23	$3,225.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,944.41 / $2,722.40 / $4,896.01	Professional		$1,944.41	$2,722.40	$4,896.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,836.26 / $27,405.73	Facility		$55.00	$26,836.26	$27,405.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,286.77 / $31,286.77 / $31,286.77	Professional		$31,286.77	$31,286.77	$31,286.77
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 $2,222.54 / $2,785.35 / $3,831.87	Facility		$2,222.54	$2,785.35	$3,831.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,160.44 / $2,802.81 / $5,716.26	Professional		$2,160.44	$2,802.81	$5,716.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,982.21 / $6,982.21 / $6,982.21	Professional		$6,982.21	$6,982.21	$6,982.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,927.26 / $2,580.04 / $3,253.64	Professional		$1,927.26	$2,580.04	$3,253.64
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 $1,698.84 / $2,265.13 / $4,745.89	Professional		$1,698.84	$2,265.13	$4,745.89