Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.16 / $10,070.00 / $22,788.00	Facility		$2,137.16	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,810.76 / $2,137.16 / $11,153.10	Professional		$1,810.76	$2,137.16	$11,153.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $9,771.00 / $21,405.00	Facility		$2,873.70	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.93 / $2,565.56 / $5,265.80	Professional		$1,776.93	$2,565.56	$5,265.80
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 $1,388.93 / $2,025.70 / $4,742.18	Professional		$1,388.93	$2,025.70	$4,742.18
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 $1,829.61 / $2,606.17 / $5,789.09	Professional		$1,829.61	$2,606.17	$5,789.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.51 / $1,641.18 / $2,997.94	Professional		$1,084.51	$1,641.18	$2,997.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,956.68 / $2,546.90 / $4,686.30	Professional		$1,956.68	$2,546.90	$4,686.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,268.48 / $19,757.28	Facility		$55.00	$19,268.48	$19,757.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,086.08 / $15,461.84 / $18,443.48	Professional		$15,086.08	$15,461.84	$18,443.48
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 $1,953.46 / $2,574.23 / $3,587.25	Facility		$1,953.46	$2,574.23	$3,587.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,838.09 / $2,750.66 / $5,772.86	Professional		$1,838.09	$2,750.66	$5,772.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,920.25 / $6,920.25 / $6,920.25	Professional		$6,920.25	$6,920.25	$6,920.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,084.51 / $1,858.54 / $2,555.50	Professional		$1,084.51	$1,858.54	$2,555.50
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 $1,699.65 / $2,299.27 / $5,449.34	Professional		$1,699.65	$2,299.27	$5,449.34