Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,379.51 / $10,321.00 / $22,788.00	Facility		$3,379.51	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,197.84 / $3,733.97 / $18,493.90	Professional		$3,197.84	$3,733.97	$18,493.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,058.00 / $11,780.00 / $23,711.32	Facility		$4,058.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,286.67 / $4,578.07 / $9,506.27	Professional		$3,286.67	$4,578.07	$9,506.27
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 $1,528.66 / $2,208.40 / $5,396.77	Professional		$1,528.66	$2,208.40	$5,396.77
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 $2,730.02 / $4,380.92 / $9,902.10	Professional		$2,730.02	$4,380.92	$9,902.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.47 / $2,927.42 / $4,774.24	Professional		$1,934.47	$2,927.42	$4,774.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,178.94 / $4,157.28 / $7,630.46	Professional		$3,178.94	$4,157.28	$7,630.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $63,756.48 / $65,457.60	Facility		$55.00	$63,756.48	$65,457.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,007.84 / $25,664.16 / $30,551.78	Professional		$25,007.84	$25,664.16	$30,551.78
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 $2,853.23 / $4,151.29 / $5,827.22	Facility		$2,853.23	$4,151.29	$5,827.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,801.21 / $4,585.97 / $9,567.23	Professional		$2,801.21	$4,585.97	$9,567.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,475.15 / $11,475.15 / $11,475.15	Professional		$11,475.15	$11,475.15	$11,475.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,934.47 / $3,288.60 / $4,067.13	Professional		$1,934.47	$3,288.60	$4,067.13
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 $2,891.31 / $3,951.77 / $10,329.49	Professional		$2,891.31	$3,951.77	$10,329.49