Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,425.80 / $10,321.00 / $22,788.00	Facility		$2,425.80	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,074.71 / $2,428.92 / $12,701.70	Professional		$2,074.71	$2,428.92	$12,701.70
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 $2,360.71 / $3,026.82 / $6,173.80	Professional		$2,360.71	$3,026.82	$6,173.80
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 $1,620.50 / $2,339.78 / $5,480.40	Professional		$1,620.50	$2,339.78	$5,480.40
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 $2,131.92 / $2,975.73 / $6,659.84	Professional		$2,131.92	$2,975.73	$6,659.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.99 / $2,616.59 / $3,401.57	Professional		$1,655.99	$2,616.59	$3,401.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,236.01 / $2,914.36 / $5,704.17	Professional		$2,236.01	$2,914.36	$5,704.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,157.84 / $22,671.04	Facility		$55.00	$22,157.84	$22,671.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,349.59 / $17,744.64 / $21,248.63	Professional		$17,349.59	$17,744.64	$21,248.63
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 $2,074.71 / $2,933.75 / $4,099.34	Facility		$2,074.71	$2,933.75	$4,099.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,163.51 / $3,163.86 / $6,558.39	Professional		$2,163.51	$3,163.86	$6,558.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,881.17 / $7,881.17 / $7,881.17	Professional		$7,881.17	$7,881.17	$7,881.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,655.99 / $2,409.67 / $2,898.80	Professional		$1,655.99	$2,409.67	$2,898.80
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 $1,964.97 / $2,666.87 / $5,920.05	Professional		$1,964.97	$2,666.87	$5,920.05