Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $10,321.00 / $22,788.00	Facility		$2,653.10	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,496.48 / $2,874.20 / $14,522.00	Professional		$2,496.48	$2,874.20	$14,522.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.34 / $10,722.00 / $22,593.00	Facility		$3,235.34	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,639.40 / $3,463.55 / $7,032.46	Professional		$2,639.40	$3,463.55	$7,032.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,910.80 / $2,890.67 / $6,754.06	Professional		$1,910.80	$2,890.67	$6,754.06
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 $2,413.67 / $3,486.56 / $7,725.43	Professional		$2,413.67	$3,486.56	$7,725.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $4,128.59	Professional		$1,096.42	$1,659.22	$4,128.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,595.09 / $3,402.96 / $6,070.81	Professional		$2,595.09	$3,402.96	$6,070.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,123.32 / $35,170.51	Facility		$55.00	$34,123.32	$35,170.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,662.40 / $20,261.75 / $22,860.83	Professional		$19,662.40	$20,261.75	$22,860.83
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 $2,562.19 / $3,314.63 / $4,757.66	Facility		$2,562.19	$3,314.63	$4,757.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,509.81 / $3,714.84 / $7,562.89	Professional		$2,509.81	$3,714.84	$7,562.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,010.65 / $9,010.65 / $9,010.65	Professional		$9,010.65	$9,010.65	$9,010.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,973.56 / $3,526.60	Professional		$1,096.42	$1,973.56	$3,526.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,210.33 / $2,991.73 / $6,798.93	Professional		$2,210.33	$2,991.73	$6,798.93