Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,546.85 / $10,321.00 / $22,788.00	Facility		$4,546.85	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,369.54 / $5,137.31 / $25,390.60	Professional		$4,369.54	$5,137.31	$25,390.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,074.00 / $10,722.00 / $22,593.00	Facility		$4,074.00	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,043.77 / $6,173.36 / $13,192.25	Professional		$4,043.77	$6,173.36	$13,192.25
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 $1,536.84 / $2,230.00 / $5,561.64	Professional		$1,536.84	$2,230.00	$5,561.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,609.84	Facility		$633.00	$766.00	$5,609.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,882.84 / $6,079.40 / $13,663.95	Professional		$2,882.84	$6,079.40	$13,663.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,873.41 / $2,835.02 / $6,510.37	Professional		$1,873.41	$2,835.02	$6,510.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,343.81 / $5,683.04 / $10,425.23	Professional		$4,343.81	$5,683.04	$10,425.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $87,274.24 / $89,616.32	Facility		$55.00	$87,274.24	$89,616.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,235.76 / $35,138.96 / $41,835.68	Professional		$34,235.76	$35,138.96	$41,835.68
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 $2,881.49 / $5,556.53 / $8,012.77	Facility		$2,881.49	$5,556.53	$8,012.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,046.20 / $6,355.27 / $13,112.71	Professional		$3,046.20	$6,355.27	$13,112.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,754.43 / $15,754.43 / $15,754.43	Professional		$15,754.43	$15,754.43	$15,754.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,873.41 / $3,372.14 / $5,545.73	Professional		$1,873.41	$3,372.14	$5,545.73
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 $3,916.63 / $5,414.89 / $12,327.34	Professional		$3,916.63	$5,414.89	$12,327.34