Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.59 / $1,524.61 / $7,611.00	Professional		$1,266.59	$1,524.61	$7,611.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $11,139.12 / $24,548.00	Facility		$4,204.00	$11,139.12	$24,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,671.91 / $2,093.94 / $4,144.56	Professional		$1,671.91	$2,093.94	$4,144.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,128.51 / $1,614.64 / $3,685.01	Professional		$1,128.51	$1,614.64	$3,685.01
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 $1,469.74 / $1,835.48 / $3,929.02	Professional		$1,469.74	$1,835.48	$3,929.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.89 / $1,656.81 / $2,236.69	Professional		$1,186.89	$1,656.81	$2,236.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.56 / $1,876.90 / $3,468.31	Professional		$1,335.56	$1,876.90	$3,468.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,682.23 / $11,925.34	Facility		$55.00	$11,682.23	$11,925.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,537.83 / $13,557.05 / $13,557.05	Professional		$12,537.83	$13,557.05	$13,557.05
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 $1,516.02 / $1,891.70 / $2,525.23	Facility		$1,516.02	$1,891.70	$2,525.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.74 / $1,913.23 / $3,891.40	Professional		$1,469.74	$1,913.23	$3,891.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,743.12 / $4,743.12 / $4,743.12	Professional		$4,743.12	$4,743.12	$4,743.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,336.74 / $1,780.34 / $2,245.15	Professional		$1,336.74	$1,780.34	$2,245.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,651.00 / $29,312.00	Facility		$6,366.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.54 / $1,531.67 / $3,229.50	Professional		$1,172.54	$1,531.67	$3,229.50