Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.36 / $10,070.00 / $22,788.00	Facility		$1,788.36	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.02 / $1,788.36 / $9,354.87	Professional		$1,527.02	$1,788.36	$9,354.87
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 $1,745.13 / $2,238.66 / $4,504.39	Professional		$1,745.13	$2,238.66	$4,504.39
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 $1,238.32 / $1,790.54 / $4,204.04	Professional		$1,238.32	$1,790.54	$4,204.04
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 $1,572.99 / $2,217.44 / $4,912.68	Professional		$1,572.99	$2,217.44	$4,912.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.55 / $1,868.23 / $2,513.26	Professional		$1,234.55	$1,868.23	$2,513.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.57 / $2,149.41 / $3,954.92	Professional		$1,649.57	$2,149.41	$3,954.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,324.80 / $16,702.72	Facility		$55.00	$16,324.80	$16,702.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,782.16 / $13,073.44 / $15,648.90	Professional		$12,782.16	$13,073.44	$15,648.90
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 $1,719.53 / $2,223.79 / $3,024.22	Facility		$1,719.53	$2,223.79	$3,024.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.90 / $2,330.29 / $4,841.08	Professional		$1,586.90	$2,330.29	$4,841.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,804.53 / $5,804.53 / $5,804.53	Professional		$5,804.53	$5,804.53	$5,804.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,234.55 / $1,777.83 / $2,222.17	Professional		$1,234.55	$1,777.83	$2,222.17
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 $1,458.36 / $1,964.64 / $4,557.33	Professional		$1,458.36	$1,964.64	$4,557.33