Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,302.15 / $10,321.00 / $22,788.00	Facility		$2,302.15	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.18 / $2,302.15 / $11,940.40	Professional		$1,949.18	$2,302.15	$11,940.40
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 $1,945.94 / $2,759.72 / $5,677.05	Professional		$1,945.94	$2,759.72	$5,677.05
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 $1,505.04 / $2,192.57 / $5,110.71	Professional		$1,505.04	$2,192.57	$5,110.71
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 $1,970.49 / $2,791.87 / $6,239.41	Professional		$1,970.49	$2,791.87	$6,239.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.04 / $1,870.49 / $3,201.46	Professional		$1,236.04	$1,870.49	$3,201.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.42 / $2,721.13 / $5,006.87	Professional		$2,090.42	$2,721.13	$5,006.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,592.88 / $21,117.92	Facility		$55.00	$20,592.88	$21,117.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,258.00 / $17,258.00 / $19,715.40	Professional		$17,258.00	$17,258.00	$19,715.40
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 $2,117.63 / $2,787.23 / $3,940.26	Facility		$2,117.63	$2,787.23	$3,940.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,013.43 / $2,965.70 / $6,174.49	Professional		$2,013.43	$2,965.70	$6,174.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,408.79 / $7,408.79 / $7,408.79	Professional		$7,408.79	$7,408.79	$7,408.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,236.04 / $2,101.26 / $2,728.92	Professional		$1,236.04	$2,101.26	$2,728.92
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 $1,819.81 / $2,439.08 / $5,584.13	Professional		$1,819.81	$2,439.08	$5,584.13