Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,130.63 / $10,321.00 / $22,788.00	Facility		$4,130.63	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,916.90 / $4,563.64 / $22,696.10	Professional		$3,916.90	$4,563.64	$22,696.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,612.12 / $11,780.00 / $23,711.32	Facility		$4,612.12	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,700.05 / $5,552.45 / $11,622.54	Professional		$3,700.05	$5,552.45	$11,622.54
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 $1,569.34 / $2,267.17 / $5,657.46	Professional		$1,569.34	$2,267.17	$5,657.46
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 $2,881.43 / $5,357.45 / $12,129.69	Professional		$2,881.43	$5,357.45	$12,129.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.63 / $2,973.06 / $5,832.48	Professional		$1,964.63	$2,973.06	$5,832.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,889.04 / $5,087.35 / $9,334.14	Professional		$3,889.04	$5,087.35	$9,334.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $78,093.75 / $80,180.96	Facility		$55.00	$78,093.75	$80,180.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,633.12 / $31,438.56 / $37,432.19	Professional		$30,633.12	$31,438.56	$37,432.19
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 $2,990.19 / $5,031.38 / $7,061.93	Facility		$2,990.19	$5,031.38	$7,061.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,975.49 / $5,595.54 / $11,728.12	Professional		$2,975.49	$5,595.54	$11,728.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,082.47 / $14,082.47 / $14,082.47	Professional		$14,082.47	$14,082.47	$14,082.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,964.63 / $3,536.33 / $4,968.38	Professional		$1,964.63	$3,536.33	$4,968.38
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 $3,479.09 / $4,787.89 / $10,588.87	Professional		$3,479.09	$4,787.89	$10,588.87