Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,613.69 / $10,321.00 / $22,788.00	Facility		$2,613.69	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.69 / $2,882.25 / $14,571.90	Professional		$2,480.69	$2,882.25	$14,571.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,455.58 / $11,780.00 / $23,711.32	Facility		$3,455.58	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,732.60 / $3,699.34 / $7,443.42	Professional		$2,732.60	$3,699.34	$7,443.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,399.21 / $2,025.54 / $4,939.76	Professional		$1,399.21	$2,025.54	$4,939.76
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 $2,334.12 / $3,398.01 / $7,610.66	Professional		$2,334.12	$3,398.01	$7,610.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.16 / $2,522.90 / $3,817.37	Professional		$1,667.16	$2,522.90	$3,817.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,528.65 / $3,303.59 / $6,071.56	Professional		$2,528.65	$3,303.59	$6,071.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $50,487.52 / $51,799.52	Facility		$55.00	$50,487.52	$51,799.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,801.12 / $20,305.84 / $24,164.93	Professional		$19,801.12	$20,305.84	$24,164.93
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 $2,457.76 / $3,283.61 / $4,651.93	Facility		$2,457.76	$3,283.61	$4,651.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,394.40 / $3,600.18 / $7,542.91	Professional		$2,394.40	$3,600.18	$7,542.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,041.61 / $9,041.61 / $9,041.61	Professional		$9,041.61	$9,041.61	$9,041.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,667.16 / $2,661.21 / $3,252.59	Professional		$1,667.16	$2,661.21	$3,252.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $5,978.00 / $18,709.00	Facility		$1,720.00	$5,978.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,235.88 / $3,121.04 / $7,648.19	Professional		$2,235.88	$3,121.04	$7,648.19