Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,207.03 / $8,090.00 / $20,509.00	Facility		$3,207.03	$8,090.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,863.32 / $3,334.29 / $19,888.30	Professional		$2,863.32	$3,334.29	$19,888.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,543.31 / $11,098.00 / $23,642.59	Facility		$4,543.31	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,957.18 / $5,325.43 / $9,873.36	Professional		$3,957.18	$5,325.43	$9,873.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $15,457.42	Facility		$64.40	$100.00	$15,457.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,080.12 / $4,410.93 / $9,804.45	Professional		$3,080.12	$4,410.93	$9,804.45
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 $3,350.08 / $4,435.37 / $10,022.43	Professional		$3,350.08	$4,435.37	$10,022.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,846.61 / $4,284.05 / $5,384.70	Professional		$2,846.61	$4,284.05	$5,384.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,453.07 / $4,852.80 / $8,705.36	Professional		$3,453.07	$4,852.80	$8,705.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,201.78 / $30,960.16	Facility		$55.00	$30,201.78	$30,960.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,182.56 / $27,856.56 / $32,413.43	Professional		$27,182.56	$27,856.56	$32,413.43
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 $3,746.17 / $4,763.68 / $6,499.80	Facility		$3,746.17	$4,763.68	$6,499.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,416.86 / $4,775.45 / $10,010.32	Professional		$3,416.86	$4,775.45	$10,010.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,340.35 / $12,340.35 / $12,340.35	Professional		$12,340.35	$12,340.35	$12,340.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,456.44 / $4,269.91 / $5,384.70	Professional		$3,456.44	$4,269.91	$5,384.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,867.28 / $3,794.75 / $8,125.74	Professional		$2,867.28	$3,794.75	$8,125.74