Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.63 / $9,674.00 / $22,788.00	Facility		$1,658.63	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.02 / $1,638.69 / $8,109.88	Professional		$1,425.02	$1,638.69	$8,109.88
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 $1,717.10 / $2,294.31 / $4,371.38	Professional		$1,717.10	$2,294.31	$4,371.38
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 $1,288.41 / $1,910.81 / $4,305.78	Professional		$1,288.41	$1,910.81	$4,305.78
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 $1,570.73 / $2,039.22 / $4,377.39	Professional		$1,570.73	$2,039.22	$4,377.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,616.56 / $2,182.36	Professional		$1,265.08	$1,616.56	$2,182.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.62 / $1,827.36 / $3,355.00	Professional		$1,397.62	$1,827.36	$3,355.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,002.08 / $28,745.28	Facility		$55.00	$28,002.08	$28,745.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,327.05 / $12,696.87 / $13,413.98	Professional		$12,327.05	$12,696.87	$13,413.98
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 $1,506.33 / $2,009.23 / $2,982.87	Facility		$1,506.33	$2,009.23	$2,982.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.83 / $2,196.08 / $4,202.97	Professional		$1,579.83	$2,196.08	$4,202.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,032.01 / $5,032.01 / $5,032.01	Professional		$5,032.01	$5,032.01	$5,032.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,771.11 / $2,277.14	Professional		$1,265.08	$1,771.11	$2,277.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.77 / $1,779.80 / $3,786.98	Professional		$1,292.77	$1,779.80	$3,786.98