Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,241.44 / $19,368.00	Facility		$2,421.00	$9,241.44	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.84 / $1,435.41 / $5,802.24	Professional		$1,309.84	$1,435.41	$5,802.24
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 $1,755.65 / $2,198.81 / $4,424.24	Professional		$1,755.65	$2,198.81	$4,424.24
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 $1,017.54 / $1,462.31 / $3,353.81	Professional		$1,017.54	$1,462.31	$3,353.81
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 $1,420.19 / $1,907.57 / $4,217.18	Professional		$1,420.19	$1,907.57	$4,217.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.82 / $1,602.31 / $2,230.71	Professional		$1,058.82	$1,602.31	$2,230.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.45 / $2,023.83 / $3,740.66	Professional		$1,440.45	$2,023.83	$3,740.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,615.19 / $12,875.10	Facility		$55.00	$12,615.19	$12,875.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,541.70 / $15,183.90 / $15,183.90	Professional		$13,541.70	$15,183.90	$15,183.90
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 $1,577.78 / $2,008.46 / $2,690.47	Facility		$1,577.78	$2,008.46	$2,690.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,443.11 / $2,003.32 / $4,204.97	Professional		$1,443.11	$2,003.32	$4,204.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,128.41 / $5,128.41 / $5,128.41	Professional		$5,128.41	$5,128.41	$5,128.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,376.47 / $1,619.72 / $2,002.89	Professional		$1,376.47	$1,619.72	$2,002.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.41 / $1,620.14 / $3,487.50	Professional		$1,237.41	$1,620.14	$3,487.50