Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.92 / $9,639.00 / $20,509.00	Facility		$1,525.92	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.27 / $1,630.65 / $8,335.37	Professional		$1,341.27	$1,630.65	$8,335.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,222.00 / $26,030.80	Facility		$4,314.00	$11,222.00	$26,030.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.70 / $2,430.38 / $4,560.95	Professional		$1,820.70	$2,430.38	$4,560.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,660.09 / $3,782.58	Professional		$1,162.06	$1,660.09	$3,782.58
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 $1,456.27 / $1,935.27 / $4,158.14	Professional		$1,456.27	$1,935.27	$4,158.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,279.23	Professional		$1,011.91	$1,531.32	$2,279.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,526.68 / $2,106.16 / $3,791.47	Professional		$1,526.68	$2,106.16	$3,791.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,036.37 / $17,431.02	Facility		$55.00	$17,036.37	$17,431.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,647.36 / $11,909.60 / $15,060.08	Professional		$11,647.36	$11,909.60	$15,060.08
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 $1,676.93 / $2,064.46 / $2,880.00	Facility		$1,676.93	$2,064.46	$2,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,490.42 / $2,013.16 / $4,317.97	Professional		$1,490.42	$2,013.16	$4,317.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,171.95 / $5,171.95 / $5,171.95	Professional		$5,171.95	$5,171.95	$5,171.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,315.48 / $1,658.03 / $2,018.27	Professional		$1,315.48	$1,658.03	$2,018.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,067.00 / $18,493.00	Facility		$2,009.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.79 / $1,660.30 / $3,553.83	Professional		$1,289.79	$1,660.30	$3,553.83