Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.87 / $11,790.00 / $25,694.00	Facility		$1,775.87	$11,790.00	$25,694.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.08 / $1,775.87 / $9,307.62	Professional		$1,514.08	$1,775.87	$9,307.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,298.00	Facility		$3,917.00	$9,106.31	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,770.17 / $2,320.12 / $4,460.82	Professional		$1,770.17	$2,320.12	$4,460.82
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 $1,234.47 / $1,782.53 / $4,179.14	Professional		$1,234.47	$1,782.53	$4,179.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $6,869.00	Facility		$633.00	$900.00	$6,869.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.92 / $2,219.69 / $4,805.51	Professional		$1,599.92	$2,219.69	$4,805.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,924.71 / $2,500.00	Professional		$1,017.50	$1,924.71	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.98 / $2,146.62 / $3,960.09	Professional		$1,647.98	$2,146.62	$3,960.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,420.00 / $24,988.44	Facility		$55.00	$24,420.00	$24,988.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,253.41 / $13,253.41 / $15,596.63	Professional		$13,253.41	$13,253.41	$15,596.63
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 $1,717.24 / $2,220.38 / $3,119.07	Facility		$1,717.24	$2,220.38	$3,119.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.30 / $2,318.27 / $4,805.51	Professional		$1,621.30	$2,318.27	$4,805.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,775.20 / $5,775.20 / $5,775.20	Professional		$5,775.20	$5,775.20	$5,775.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,729.74 / $2,144.36	Professional		$1,017.50	$1,729.74	$2,144.36
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 $1,429.75 / $1,931.75 / $4,301.84	Professional		$1,429.75	$1,931.75	$4,301.84