Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,684.86 / $9,386.00 / $19,368.00	Facility		$2,684.86	$9,386.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,314.82 / $2,723.74 / $14,678.90	Professional		$2,314.82	$2,723.74	$14,678.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,487.11 / $3,793.25 / $7,706.44	Professional		$2,487.11	$3,793.25	$7,706.44
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 $2,071.85 / $2,965.81 / $6,773.16	Professional		$2,071.85	$2,965.81	$6,773.16
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 $2,677.60 / $3,444.93 / $7,448.70	Professional		$2,677.60	$3,444.93	$7,448.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.04 / $2,130.78 / $3,879.96	Professional		$1,408.04	$2,130.78	$3,879.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,531.26 / $3,540.66 / $6,360.71	Professional		$2,531.26	$3,540.66	$6,360.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,953.49 / $35,707.43	Facility		$55.00	$34,953.49	$35,707.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,031.91 / $20,458.32 / $23,900.03	Professional		$20,031.91	$20,458.32	$23,900.03
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 $2,812.51 / $3,506.43 / $4,713.39	Facility		$2,812.51	$3,506.43	$4,713.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,694.26 / $3,560.76 / $7,435.06	Professional		$2,694.26	$3,560.76	$7,435.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,108.01 / $9,108.01 / $9,108.01	Professional		$9,108.01	$9,108.01	$9,108.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,830.45 / $2,534.46 / $3,442.55	Professional		$1,830.45	$2,534.46	$3,442.55
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 $2,217.23 / $2,944.81 / $6,706.15	Professional		$2,217.23	$2,944.81	$6,706.15