Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.03 / $10,321.00 / $22,788.00	Facility		$2,262.03	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,939.63 / $2,273.62 / $11,888.10	Professional		$1,939.63	$2,273.62	$11,888.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,144.82 / $2,856.03 / $5,746.61	Professional		$2,144.82	$2,856.03	$5,746.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,471.72 / $2,126.09 / $5,039.06	Professional		$1,471.72	$2,126.09	$5,039.06
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 $1,990.05 / $2,775.29 / $6,216.04	Professional		$1,990.05	$2,775.29	$6,216.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.26 / $1,772.46 / $3,165.54	Professional		$1,171.26	$1,772.46	$3,165.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,085.17 / $2,718.90 / $5,002.78	Professional		$2,085.17	$2,718.90	$5,002.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,701.04 / $21,195.52	Facility		$55.00	$20,701.04	$21,195.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,210.16 / $16,589.28 / $19,860.00	Professional		$16,210.16	$16,589.28	$19,860.00
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 $2,124.25 / $2,780.23 / $3,822.82	Facility		$2,124.25	$2,780.23	$3,822.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,029.57 / $2,944.23 / $6,141.66	Professional		$2,029.57	$2,944.23	$6,141.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,376.33 / $7,376.33 / $7,376.33	Professional		$7,376.33	$7,376.33	$7,376.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,171.26 / $1,991.13 / $2,697.46	Professional		$1,171.26	$1,991.13	$2,697.46
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 $1,839.60 / $2,498.62 / $5,487.19	Professional		$1,839.60	$2,498.62	$5,487.19