Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,321.00 / $22,788.00	Facility		$2,421.00	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,194.04 / $2,568.44 / $13,129.60	Professional		$2,194.04	$2,568.44	$13,129.60
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 $2,526.54 / $3,259.40 / $6,557.90	Professional		$2,526.54	$3,259.40	$6,557.90
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 $1,827.73 / $2,708.68 / $6,364.93	Professional		$1,827.73	$2,708.68	$6,364.93
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 $2,340.37 / $3,142.00 / $7,063.92	Professional		$2,340.37	$3,142.00	$7,063.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.16 / $2,522.90 / $3,526.56	Professional		$1,667.16	$2,522.90	$3,526.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.73 / $3,022.48 / $5,561.35	Professional		$2,317.73	$3,022.48	$5,561.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,948.32 / $46,979.36	Facility		$55.00	$45,948.32	$46,979.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,006.88 / $18,414.96 / $21,981.53	Professional		$18,006.88	$18,414.96	$21,981.53
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 $2,417.98 / $3,071.97 / $4,479.13	Facility		$2,417.98	$3,071.97	$4,479.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,340.37 / $3,323.99 / $6,783.67	Professional		$2,340.37	$3,323.99	$6,783.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,146.68 / $8,146.68 / $8,146.68	Professional		$8,146.68	$8,146.68	$8,146.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,667.16 / $2,498.73 / $3,005.53	Professional		$1,667.16	$2,498.73	$3,005.53
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 $2,052.40 / $2,799.87 / $6,147.95	Professional		$2,052.40	$2,799.87	$6,147.95