Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.60 / $10,004.00 / $20,509.00	Facility		$1,722.60	$10,004.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.59 / $1,863.74 / $9,256.67	Professional		$1,514.59	$1,863.74	$9,256.67
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 $1,890.39 / $2,761.67 / $5,063.53	Professional		$1,890.39	$2,761.67	$5,063.53
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 $1,300.68 / $1,876.40 / $4,232.64	Professional		$1,300.68	$1,876.40	$4,232.64
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 $1,672.89 / $2,184.40 / $4,658.74	Professional		$1,672.89	$2,184.40	$4,658.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,511.73	Professional		$1,011.91	$1,531.32	$2,511.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,680.48 / $2,323.36 / $4,187.12	Professional		$1,680.48	$2,323.36	$4,187.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,867.41 / $19,311.93	Facility		$55.00	$18,867.41	$19,311.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,895.92 / $13,189.76 / $16,699.88	Professional		$12,895.92	$13,189.76	$16,699.88
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 $1,867.20 / $2,281.16 / $3,100.80	Facility		$1,867.20	$2,281.16	$3,100.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $2,263.17 / $4,787.51	Professional		$1,689.53	$2,263.17	$4,787.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,743.61 / $5,743.61 / $5,743.61	Professional		$5,743.61	$5,743.61	$5,743.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,315.48 / $1,819.52 / $2,223.86	Professional		$1,315.48	$1,819.52	$2,223.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.32 / $1,876.07 / $3,952.26	Professional		$1,435.32	$1,876.07	$3,952.26