Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,727.00 / $19,894.00	Facility		$2,843.00	$9,727.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.08 / $2,043.82 / $7,917.21	Professional		$1,598.08	$2,043.82	$7,917.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,414.00 / $37,961.65	Facility		$3,908.00	$11,414.00	$37,961.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.91 / $2,507.19 / $4,820.53	Professional		$1,912.91	$2,507.19	$4,820.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,613.98	Facility		$63.90	$100.00	$13,613.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,251.02 / $1,811.48 / $4,118.85	Professional		$1,251.02	$1,811.48	$4,118.85
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 $1,886.44 / $2,443.28 / $5,304.25	Professional		$1,886.44	$2,443.28	$5,304.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.34 / $2,208.25 / $2,760.31	Professional		$1,366.34	$2,208.25	$2,760.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,874.58 / $2,559.16 / $4,623.78	Professional		$1,874.58	$2,559.16	$4,623.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $21,653.39 / $26,230.27	Facility		$5,000.00	$21,653.39	$26,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,475.96 / $14,648.48 / $18,609.98	Professional		$14,475.96	$14,648.48	$18,609.98
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 $2,023.84 / $2,522.06 / $3,417.91	Facility		$2,023.84	$2,522.06	$3,417.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,886.44 / $2,560.32 / $5,337.55	Professional		$1,886.44	$2,560.32	$5,337.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,428.78 / $6,428.78 / $6,428.78	Professional		$6,428.78	$6,428.78	$6,428.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,776.24 / $1,999.05 / $2,443.29	Professional		$1,776.24	$1,999.05	$2,443.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,572.34 / $2,031.16 / $4,321.49	Professional		$1,572.34	$2,031.16	$4,321.49