Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,608.00 / $19,894.00	Facility		$2,843.00	$9,608.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.59 / $1,606.25 / $8,584.71	Professional		$1,373.59	$1,606.25	$8,584.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,268.00 / $49,214.59	Facility		$4,314.00	$12,268.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,726.25 / $2,297.03 / $4,652.32	Professional		$1,726.25	$2,297.03	$4,652.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,150.11	Facility		$64.40	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,282.72 / $1,843.51 / $4,157.26	Professional		$1,282.72	$1,843.51	$4,157.26
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 $1,643.79 / $2,061.03 / $4,396.97	Professional		$1,643.79	$2,061.03	$4,396.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.59 / $1,570.20 / $2,312.81	Professional		$1,037.59	$1,570.20	$2,312.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,494.32 / $2,099.30 / $3,767.15	Professional		$1,494.32	$2,099.30	$3,767.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,093.92 / $13,366.43	Facility		$55.00	$13,093.92	$13,366.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,786.96 / $12,029.60 / $14,055.75	Professional		$11,786.96	$12,029.60	$14,055.75
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 $1,686.73 / $2,085.92 / $2,940.00	Facility		$1,686.73	$2,085.92	$2,940.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,654.52 / $2,136.92 / $4,366.71	Professional		$1,654.52	$2,136.92	$4,366.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,326.67 / $5,326.67 / $5,326.67	Professional		$5,326.67	$5,326.67	$5,326.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.88 / $1,679.31 / $2,052.48	Professional		$1,348.88	$1,679.31	$2,052.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.08 / $1,716.12 / $3,985.49	Professional		$1,287.08	$1,716.12	$3,985.49