Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,321.00 / $22,788.00	Facility		$2,421.00	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,218.03 / $2,684.59 / $9,730.01	Professional		$2,218.03	$2,684.59	$9,730.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,152.33 / $10,722.00 / $22,593.00	Facility		$3,152.33	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,694.53 / $3,374.70 / $6,790.22	Professional		$2,694.53	$3,374.70	$6,790.22
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 $1,838.58 / $2,673.28 / $6,306.18	Professional		$1,838.58	$2,673.28	$6,306.18
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 $2,366.55 / $3,245.49 / $7,436.49	Professional		$2,366.55	$3,245.49	$7,436.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,873.41 / $2,835.02 / $3,732.63	Professional		$1,873.41	$2,835.02	$3,732.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,449.56 / $3,191.74 / $5,872.80	Professional		$2,449.56	$3,191.74	$5,872.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $48,477.92 / $49,583.20	Facility		$55.00	$48,477.92	$49,583.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,979.04 / $19,403.20 / $23,233.50	Professional		$18,979.04	$19,403.20	$23,233.50
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 $2,553.39 / $3,266.08 / $4,594.00	Facility		$2,553.39	$3,266.08	$4,594.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.59 / $3,430.93 / $7,170.77	Professional		$2,398.59	$3,430.93	$7,170.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,602.86 / $8,602.86 / $8,602.86	Professional		$8,602.86	$8,602.86	$8,602.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,873.41 / $2,640.04 / $3,372.14	Professional		$1,873.41	$2,640.04	$3,372.14
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 $2,122.73 / $2,895.60 / $6,476.05	Professional		$2,122.73	$2,895.60	$6,476.05