Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,171.85 / $10,321.00 / $22,788.00	Facility		$4,171.85	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,942.03 / $4,613.43 / $22,996.80	Professional		$3,942.03	$4,613.43	$22,996.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,619.00 / $11,780.00 / $23,711.32	Facility		$4,619.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,722.64 / $5,636.21 / $11,703.49	Professional		$3,722.64	$5,636.21	$11,703.49
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 $1,540.70 / $2,225.80 / $5,562.14	Professional		$1,540.70	$2,225.80	$5,562.14
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 $2,826.14 / $5,416.93 / $12,299.02	Professional		$2,826.14	$5,416.93	$12,299.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.47 / $2,927.42 / $5,942.11	Professional		$1,934.47	$2,927.42	$5,942.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,954.29 / $5,170.78 / $9,491.92	Professional		$3,954.29	$5,170.78	$9,491.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $79,268.80 / $81,344.80	Facility		$55.00	$79,268.80	$81,344.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,092.96 / $31,893.44 / $37,977.98	Professional		$31,092.96	$31,893.44	$37,977.98
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 $2,944.06 / $5,083.51 / $7,137.66	Facility		$2,944.06	$5,083.51	$7,137.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,928.75 / $5,669.97 / $11,880.87	Professional		$2,928.75	$5,669.97	$11,880.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,269.12 / $14,269.12 / $14,269.12	Professional		$14,269.12	$14,269.12	$14,269.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,934.47 / $3,482.05 / $5,062.13	Professional		$1,934.47	$3,482.05	$5,062.13
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 $3,531.41 / $4,821.14 / $10,734.66	Professional		$3,531.41	$4,821.14	$10,734.66