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 $1,630.70 / $2,150.46 / $11,594.40	Professional		$1,630.70	$2,150.46	$11,594.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $12,574.00 / $49,214.59	Facility		$4,446.00	$12,574.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.37 / $2,772.22 / $5,584.37	Professional		$1,962.37	$2,772.22	$5,584.37
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 $1,245.10 / $1,791.15 / $4,142.60	Professional		$1,245.10	$1,791.15	$4,142.60
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 $1,772.16 / $2,507.21 / $5,701.94	Professional		$1,772.16	$2,507.21	$5,701.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $2,480.14 / $3,100.18	Professional		$1,143.33	$2,480.14	$3,100.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,100.88 / $2,872.76 / $5,187.17	Professional		$2,100.88	$2,872.76	$5,187.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $19,837.53 / $24,045.21	Facility		$5,000.00	$19,837.53	$24,045.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,408.43 / $16,414.72 / $20,835.90	Professional		$16,408.43	$16,414.72	$20,835.90
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 $2,194.64 / $2,828.76 / $3,794.96	Facility		$2,194.64	$2,828.76	$3,794.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.49 / $2,681.57 / $5,890.23	Professional		$1,807.49	$2,681.57	$5,890.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,194.09 / $7,194.09 / $7,194.09	Professional		$7,194.09	$7,194.09	$7,194.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,486.33 / $2,058.00 / $2,744.29	Professional		$1,486.33	$2,058.00	$2,744.29
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 $1,728.67 / $2,257.44 / $4,777.06	Professional		$1,728.67	$2,257.44	$4,777.06