Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.46 / $10,321.00 / $22,788.00	Facility		$2,471.46	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.00 / $3,246.81 / $17,823.09	Professional		$2,344.00	$3,246.81	$17,823.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,780.00 / $23,711.32	Facility		$3,434.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,799.14 / $3,668.77 / $8,864.03	Professional		$2,799.14	$3,668.77	$8,864.03
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 $2,051.01 / $2,965.40 / $7,164.60	Professional		$2,051.01	$2,965.40	$7,164.60
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 $2,531.29 / $3,763.83 / $8,907.32	Professional		$2,531.29	$3,763.83	$8,907.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.64 / $2,631.08 / $4,551.89	Professional		$1,738.64	$2,631.08	$4,551.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.35 / $3,945.64 / $7,249.15	Professional		$3,019.35	$3,945.64	$7,249.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60,356.16 / $62,770.24	Facility		$55.00	$60,356.16	$62,770.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,671.52 / $24,628.96 / $28,899.30	Professional		$23,671.52	$24,628.96	$28,899.30
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 $2,857.67 / $3,855.10 / $5,523.89	Facility		$2,857.67	$3,855.10	$5,523.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,549.53 / $4,138.56 / $8,941.04	Professional		$2,549.53	$4,138.56	$8,941.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,058.90 / $11,058.90 / $11,058.90	Professional		$11,058.90	$11,058.90	$11,058.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,738.64 / $2,955.69 / $3,878.24	Professional		$1,738.64	$2,955.69	$3,878.24
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 $2,430.46 / $3,465.16 / $8,012.72	Professional		$2,430.46	$3,465.16	$8,012.72