Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.49 / $10,070.00 / $22,788.00	Facility		$1,883.49	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.06 / $1,959.40 / $6,852.64	Professional		$1,608.06	$1,959.40	$6,852.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.00 / $8,924.48 / $21,136.00	Facility		$2,684.00	$8,924.48	$21,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,891.90 / $2,461.31 / $4,977.72	Professional		$1,891.90	$2,461.31	$4,977.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,333.05 / $1,970.07 / $4,630.85	Professional		$1,333.05	$1,970.07	$4,630.85
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 $1,684.86 / $2,325.55 / $5,053.52	Professional		$1,684.86	$2,325.55	$5,053.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $2,580.23	Professional		$1,096.42	$1,659.22	$2,580.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.35 / $2,186.34 / $3,953.55	Professional		$1,666.35	$2,186.34	$3,953.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,382.96 / $16,788.16	Facility		$55.00	$16,382.96	$16,788.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,059.92 / $13,382.32 / $15,007.50	Professional		$13,059.92	$13,382.32	$15,007.50
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 $1,750.52 / $2,273.79 / $3,175.68	Facility		$1,750.52	$2,273.79	$3,175.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,689.68 / $2,462.29 / $4,898.62	Professional		$1,689.68	$2,462.29	$4,898.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,010.32 / $6,010.32 / $6,010.32	Professional		$6,010.32	$6,010.32	$6,010.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,802.30 / $2,202.81	Professional		$1,096.42	$1,802.30	$2,202.81
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 $1,489.59 / $2,044.38 / $4,685.47	Professional		$1,489.59	$2,044.38	$4,685.47