Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,585.31 / $10,321.00 / $22,788.00	Facility		$3,585.31	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,360.13 / $3,930.90 / $19,423.90	Professional		$3,360.13	$3,930.90	$19,423.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $11,780.00 / $23,711.32	Facility		$4,204.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,805.00 / $4,763.03 / $9,890.34	Professional		$2,805.00	$4,763.03	$9,890.34
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 $1,319.74 / $1,911.76 / $4,780.35	Professional		$1,319.74	$1,911.76	$4,780.35
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 $2,444.25 / $4,550.04 / $10,116.99	Professional		$2,444.25	$4,550.04	$10,116.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.51 / $2,450.80 / $5,063.59	Professional		$1,619.51	$2,450.80	$5,063.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,359.34 / $4,390.18 / $8,065.38	Professional		$3,359.34	$4,390.18	$8,065.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $67,163.52 / $68,910.56	Facility		$55.00	$67,163.52	$68,910.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,342.40 / $27,015.52 / $32,157.60	Professional		$26,342.40	$27,015.52	$32,157.60
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 $2,475.16 / $4,305.93 / $6,094.85	Facility		$2,475.16	$4,305.93	$6,094.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,535.15 / $4,783.17 / $10,041.94	Professional		$2,535.15	$4,783.17	$10,041.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,052.19 / $12,052.19 / $12,052.19	Professional		$12,052.19	$12,052.19	$12,052.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,619.51 / $2,915.11 / $4,314.20	Professional		$1,619.51	$2,915.11	$4,314.20
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 $2,984.58 / $4,089.99 / $8,948.02	Professional		$2,984.58	$4,089.99	$8,948.02