Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,386.00 / $19,368.00	Facility		$2,421.00	$9,386.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.64 / $2,441.26 / $13,161.10	Professional		$2,050.64	$2,441.26	$13,161.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,191.52 / $3,102.49 / $6,206.04	Professional		$2,191.52	$3,102.49	$6,206.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $9,919.41	Facility		$64.40	$100.00	$9,919.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,381.41 / $1,974.90 / $4,512.12	Professional		$1,381.41	$1,974.90	$4,512.12
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 $1,691.34 / $2,902.85 / $6,639.46	Professional		$1,691.34	$2,902.85	$6,639.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.18 / $1,997.82 / $3,489.25	Professional		$1,320.18	$1,997.82	$3,489.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,272.34 / $3,181.18 / $5,713.71	Professional		$2,272.34	$3,181.18	$5,713.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,365.73 / $32,038.93	Facility		$55.00	$31,365.73	$32,038.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,975.28 / $18,356.48 / $21,440.78	Professional		$17,975.28	$18,356.48	$21,440.78
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 $2,053.35 / $3,029.78 / $4,047.53	Facility		$2,053.35	$3,029.78	$4,047.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,771.88 / $3,064.18 / $6,619.12	Professional		$1,771.88	$3,064.18	$6,619.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,166.26 / $8,166.26 / $8,166.26	Professional		$8,166.26	$8,166.26	$8,166.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,716.23 / $2,376.32 / $3,096.01	Professional		$1,716.23	$2,376.32	$3,096.01
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 $1,701.70 / $2,460.19 / $5,562.22	Professional		$1,701.70	$2,460.19	$5,562.22