Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.92 / $10,321.00 / $22,788.00	Facility		$2,550.92	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,417.10 / $2,847.89 / $13,949.40	Professional		$2,417.10	$2,847.89	$13,949.40
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 $2,809.23 / $3,682.00 / $7,079.27	Professional		$2,809.23	$3,682.00	$7,079.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,029.21 / $3,002.78 / $6,877.30	Professional		$2,029.21	$3,002.78	$6,877.30
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 $2,538.84 / $3,461.25 / $7,554.05	Professional		$2,538.84	$3,461.25	$7,554.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.29 / $3,105.49 / $4,037.14	Professional		$2,200.29	$3,105.49	$4,037.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,643.58 / $3,443.14 / $6,769.97	Professional		$2,643.58	$3,443.14	$6,769.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $52,216.48 / $53,389.76	Facility		$55.00	$52,216.48	$53,389.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,442.24 / $20,891.91 / $25,011.08	Professional		$20,442.24	$20,891.91	$25,011.08
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 $2,593.55 / $3,464.44 / $4,975.81	Facility		$2,593.55	$3,464.44	$4,975.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,586.06 / $3,709.92 / $7,554.05	Professional		$2,586.06	$3,709.92	$7,554.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,655.36 / $8,655.36 / $8,655.36	Professional		$8,655.36	$8,655.36	$8,655.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,200.29 / $3,080.41 / $3,440.92	Professional		$2,200.29	$3,080.41	$3,440.92
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 $2,215.92 / $3,016.04 / $6,432.68	Professional		$2,215.92	$3,016.04	$6,432.68