Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.82 / $9,674.00 / $22,788.00	Facility		$1,692.82	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.86 / $1,621.45 / $7,899.28	Professional		$1,395.86	$1,621.45	$7,899.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $11,488.00 / $25,864.00	Facility		$2,143.00	$11,488.00	$25,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.84 / $2,346.40 / $4,526.34	Professional		$1,772.84	$2,346.40	$4,526.34
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 $1,320.84 / $1,947.69 / $4,323.87	Professional		$1,320.84	$1,947.69	$4,323.87
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 $1,574.08 / $2,121.96 / $4,770.71	Professional		$1,574.08	$2,121.96	$4,770.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.55 / $1,591.04 / $2,068.35	Professional		$1,371.55	$1,591.04	$2,068.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.92 / $1,788.08 / $3,287.09	Professional		$1,368.92	$1,788.08	$3,287.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,190.09 / $22,763.39	Facility		$55.00	$22,190.09	$22,763.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,710.32 / $10,984.16 / $13,071.45	Professional		$10,710.32	$10,984.16	$13,071.45
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 $1,461.30 / $1,825.22 / $2,554.42	Facility		$1,461.30	$1,825.22	$2,554.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,611.66 / $2,208.02 / $4,190.20	Professional		$1,611.66	$2,208.02	$4,190.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,901.35 / $4,901.35 / $4,901.35	Professional		$4,901.35	$4,901.35	$4,901.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,371.55 / $1,762.38 / $2,057.33	Professional		$1,371.55	$1,762.38	$2,057.33
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 $1,294.90 / $1,862.63 / $4,327.30	Professional		$1,294.90	$1,862.63	$4,327.30