Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.94 / $10,051.00 / $22,788.00	Facility		$2,113.94	$10,051.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,986.35 / $2,280.61 / $11,494.70	Professional		$1,986.35	$2,280.61	$11,494.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,022.00 / $10,722.00 / $22,593.00	Facility		$3,022.00	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.19 / $2,755.47 / $5,624.76	Professional		$2,137.19	$2,755.47	$5,624.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,646.80 / $2,491.09 / $5,701.80	Professional		$1,646.80	$2,491.09	$5,701.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.50 / $2,766.28 / $6,231.97	Professional		$1,977.50	$2,766.28	$6,231.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,148.77 / $3,298.98	Professional		$759.12	$1,148.77	$3,298.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,067.71 / $2,708.48 / $4,829.43	Professional		$2,067.71	$2,708.48	$4,829.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,716.40 / $20,320.88	Facility		$55.00	$19,716.40	$20,320.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,614.48 / $16,089.92 / $18,163.13	Professional		$15,614.48	$16,089.92	$18,163.13
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 $1,840.00 / $2,663.58 / $3,842.08	Facility		$1,840.00	$2,663.58	$3,842.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,019.10 / $2,959.79 / $6,004.84	Professional		$2,019.10	$2,959.79	$6,004.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,132.26 / $7,132.26 / $7,132.26	Professional		$7,132.26	$7,132.26	$7,132.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,366.42 / $2,818.16	Professional		$759.12	$1,366.42	$2,818.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,746.65 / $2,370.42 / $5,427.07	Professional		$1,746.65	$2,370.42	$5,427.07