Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,219.08 / $10,321.00 / $22,788.00	Facility		$3,219.08	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,824.79 / $3,219.08 / $16,346.70	Professional		$2,824.79	$3,219.08	$16,346.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $11,276.00 / $24,301.00	Facility		$3,275.00	$11,276.00	$24,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,861.62 / $5,724.10 / $10,853.27	Professional		$3,861.62	$5,724.10	$10,853.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,351.75 / $3,412.64 / $8,022.32	Professional		$2,351.75	$3,412.64	$8,022.32
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 $3,052.05 / $4,084.55 / $9,215.44	Professional		$3,052.05	$4,084.55	$9,215.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,672.00 / $3,329.59 / $4,328.47	Professional		$2,672.00	$3,329.59	$4,328.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,849.72 / $3,717.28 / $6,839.79	Professional		$2,849.72	$3,717.28	$6,839.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $46,913.60 / $57,766.24	Facility		$2,800.00	$46,913.60	$57,766.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,171.76 / $22,633.12 / $27,083.33	Professional		$22,171.76	$22,633.12	$27,083.33
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 $2,973.82 / $3,799.63 / $5,327.34	Facility		$2,973.82	$3,799.63	$5,327.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,112.81 / $4,386.58 / $8,429.73	Professional		$3,112.81	$4,386.58	$8,429.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,142.78 / $10,142.78 / $10,142.78	Professional		$10,142.78	$10,142.78	$10,142.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,672.00 / $3,688.71 / $4,008.00	Professional		$2,672.00	$3,688.71	$4,008.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $6,108.00 / $18,709.00	Facility		$1,720.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,564.65 / $3,601.41 / $7,620.86	Professional		$2,564.65	$3,601.41	$7,620.86