Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.07 / $10,321.00 / $22,788.00	Facility		$2,171.07	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.26 / $2,171.07 / $11,317.60	Professional		$1,841.26	$2,171.07	$11,317.60
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 $2,109.94 / $2,894.65 / $5,729.10	Professional		$2,109.94	$2,894.65	$5,729.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,460.04 / $2,113.89 / $5,006.06	Professional		$1,460.04	$2,113.89	$5,006.06
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 $1,951.46 / $2,716.09 / $6,119.81	Professional		$1,951.46	$2,716.09	$6,119.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,752.42 / $2,341.63 / $3,044.12	Professional		$1,752.42	$2,341.63	$3,044.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,988.39 / $2,588.50 / $4,762.84	Professional		$1,988.39	$2,588.50	$4,762.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,594.00 / $20,080.48	Facility		$55.00	$19,594.00	$20,080.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,956.93 / $17,956.93 / $18,760.43	Professional		$17,956.93	$17,956.93	$18,760.43
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 $2,065.19 / $2,651.18 / $3,774.22	Facility		$2,065.19	$2,651.18	$3,774.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,951.46 / $2,851.93 / $5,862.71	Professional		$1,951.46	$2,851.93	$5,862.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,022.39 / $7,022.39 / $7,022.39	Professional		$7,022.39	$7,022.39	$7,022.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,752.42 / $2,453.38 / $2,628.62	Professional		$1,752.42	$2,453.38	$2,628.62
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 $1,765.12 / $2,411.41 / $5,474.38	Professional		$1,765.12	$2,411.41	$5,474.38