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 / $21,479.00	Facility		$2,843.00	$9,879.00	$21,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.82 / $2,100.67 / $11,602.00	Professional		$1,689.82	$2,100.67	$11,602.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,574.00 / $49,214.59	Facility		$4,734.00	$12,574.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,155.17 / $2,824.74 / $5,431.02	Professional		$2,155.17	$2,824.74	$5,431.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,381.39 / $2,003.75 / $4,527.54	Professional		$1,381.39	$2,003.75	$4,527.54
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 $1,943.75 / $2,564.14 / $5,766.87	Professional		$1,943.75	$2,564.14	$5,766.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.55 / $2,460.87 / $3,076.09	Professional		$1,492.55	$2,460.87	$3,076.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,096.38 / $2,854.30 / $5,164.14	Professional		$2,096.38	$2,854.30	$5,164.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $24,250.60 / $29,342.50	Facility		$5,000.00	$24,250.60	$29,342.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,017.52 / $16,382.64 / $20,847.59	Professional		$16,017.52	$16,382.64	$20,847.59
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 $2,254.25 / $2,816.81 / $3,818.26	Facility		$2,254.25	$2,816.81	$3,818.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,958.24 / $2,762.73 / $5,891.26	Professional		$1,958.24	$2,762.73	$5,891.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,198.83 / $7,198.83 / $7,198.83	Professional		$7,198.83	$7,198.83	$7,198.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,940.32 / $2,227.50 / $2,722.50	Professional		$1,940.32	$2,227.50	$2,722.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $17,163.00 / $37,944.00	Facility		$8,830.00	$17,163.00	$37,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,728.67 / $2,276.61 / $4,940.18	Professional		$1,728.67	$2,276.61	$4,940.18