Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $10,321.00 / $22,788.00	Facility		$2,528.00	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,401.17 / $2,805.58 / $14,671.40	Professional		$2,401.17	$2,805.58	$14,671.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.18 / $8,947.00 / $19,298.00	Facility		$3,173.18	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,736.44 / $3,522.10 / $7,139.15	Professional		$2,736.44	$3,522.10	$7,139.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,856.00 / $2,685.89 / $6,270.10	Professional		$1,856.00	$2,685.89	$6,270.10
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 $2,460.88 / $3,426.38 / $7,673.51	Professional		$2,460.88	$3,426.38	$7,673.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.57 / $3,007.30 / $3,909.49	Professional		$1,903.57	$3,007.30	$3,909.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,574.37 / $3,356.58 / $6,176.10	Professional		$2,574.37	$3,356.58	$6,176.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,550.40 / $26,158.64	Facility		$55.00	$25,550.40	$26,158.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,007.43 / $20,473.91 / $24,510.08	Professional		$20,007.43	$20,473.91	$24,510.08
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 $2,270.98 / $3,375.49 / $4,734.45	Facility		$2,270.98	$3,375.49	$4,734.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,516.85 / $3,654.62 / $7,573.52	Professional		$2,516.85	$3,654.62	$7,573.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,103.33 / $9,103.33 / $9,103.33	Professional		$9,103.33	$9,103.33	$9,103.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,903.57 / $2,774.13 / $3,331.45	Professional		$1,903.57	$2,774.13	$3,331.45
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 $2,272.13 / $3,083.96 / $6,835.58	Professional		$2,272.13	$3,083.96	$6,835.58