Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,384.00 / $19,368.00	Facility		$2,421.00	$9,384.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.90 / $1,718.46 / $6,013.01	Professional		$1,441.90	$1,718.46	$6,013.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $12,435.00 / $25,585.00	Facility		$4,644.00	$12,435.00	$25,585.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.67 / $2,441.81 / $4,825.79	Professional		$1,949.67	$2,441.81	$4,825.79
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 $1,353.60 / $1,937.97 / $4,308.82	Professional		$1,353.60	$1,937.97	$4,308.82
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 $1,711.25 / $2,139.87 / $4,568.08	Professional		$1,711.25	$2,139.87	$4,568.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,914.43 / $2,395.89	Professional		$1,265.08	$1,914.43	$2,395.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.63 / $2,175.88 / $3,905.11	Professional		$1,566.63	$2,175.88	$3,905.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,581.47 / $13,861.19	Facility		$55.00	$13,581.47	$13,861.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,584.43 / $16,935.64 / $16,935.64	Professional		$14,584.43	$16,935.64	$16,935.64
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 $1,766.13 / $2,218.81 / $2,911.06	Facility		$1,766.13	$2,218.81	$2,911.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,711.25 / $2,228.66 / $4,530.24	Professional		$1,711.25	$2,228.66	$4,530.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,526.07 / $5,526.07 / $5,526.07	Professional		$5,526.07	$5,526.07	$5,526.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,546.30 / $1,897.61 / $2,393.04	Professional		$1,546.30	$1,897.61	$2,393.04
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 $1,338.39 / $1,780.92 / $3,760.34	Professional		$1,338.39	$1,780.92	$3,760.34