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 $2,133.96 / $2,500.19 / $12,947.60	Professional		$2,133.96	$2,500.19	$12,947.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $15,673.00 / $49,214.59	Facility		$5,486.00	$15,673.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,790.13 / $3,655.79 / $7,008.52	Professional		$2,790.13	$3,655.79	$7,008.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,055.56	Facility		$65.80	$100.00	$11,055.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,917.38 / $2,748.18 / $6,223.65	Professional		$1,917.38	$2,748.18	$6,223.65
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 $2,468.46 / $3,224.93 / $6,771.35	Professional		$2,468.46	$3,224.93	$6,771.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.89 / $2,752.40 / $3,648.72	Professional		$1,928.89	$2,752.40	$3,648.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.33 / $3,135.04 / $5,630.22	Professional		$2,238.33	$3,135.04	$5,630.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,312.69 / $40,151.86	Facility		$55.00	$39,312.69	$40,151.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,967.80 / $21,112.73 / $21,659.73	Professional		$20,967.80	$21,112.73	$21,659.73
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 $2,419.89 / $3,102.13 / $4,222.66	Facility		$2,419.89	$3,102.13	$4,222.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,487.03 / $3,331.77 / $6,590.23	Professional		$2,487.03	$3,331.77	$6,590.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,033.75 / $8,033.75 / $8,033.75	Professional		$8,033.75	$8,033.75	$8,033.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,220.21 / $2,893.33 / $3,648.72	Professional		$2,220.21	$2,893.33	$3,648.72
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 $2,018.25 / $2,709.81 / $5,497.44	Professional		$2,018.25	$2,709.81	$5,497.44