Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,964.67 / $10,070.00 / $22,788.00	Facility		$1,964.67	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.98 / $1,955.72 / $9,858.31	Professional		$1,672.98	$1,955.72	$9,858.31
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 $1,962.26 / $2,508.00 / $4,944.89	Professional		$1,962.26	$2,508.00	$4,944.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,929.19	Facility		$66.70	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,360.88 / $2,011.70 / $4,739.18	Professional		$1,360.88	$2,011.70	$4,739.18
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 $1,724.79 / $2,366.55 / $5,243.08	Professional		$1,724.79	$2,366.55	$5,243.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.21 / $2,050.61 / $2,665.79	Professional		$1,384.21	$2,050.61	$2,665.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,716.43 / $2,250.08 / $4,470.33	Professional		$1,716.43	$2,250.08	$4,470.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,825.52 / $17,263.28	Facility		$55.00	$16,825.52	$17,263.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,405.52 / $13,753.92 / $15,417.90	Professional		$13,405.52	$13,753.92	$15,417.90
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 $1,800.06 / $2,348.82 / $3,294.60	Facility		$1,800.06	$2,348.82	$3,294.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,724.79 / $2,522.46 / $5,006.68	Professional		$1,724.79	$2,522.46	$5,006.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,116.90 / $6,116.90 / $6,116.90	Professional		$6,116.90	$6,116.90	$6,116.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,384.21 / $1,937.90 / $2,491.58	Professional		$1,384.21	$1,937.90	$2,491.58
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 $1,514.15 / $2,059.96 / $4,560.75	Professional		$1,514.15	$2,059.96	$4,560.75