Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.93 / $9,818.71 / $22,788.00	Facility		$1,717.93	$9,818.71	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.07 / $1,719.83 / $8,984.96	Professional		$1,463.07	$1,719.83	$8,984.96
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 $1,711.52 / $2,208.06 / $4,313.03	Professional		$1,711.52	$2,208.06	$4,313.03
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 $1,207.23 / $1,786.23 / $4,201.82	Professional		$1,207.23	$1,786.23	$4,201.82
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 $1,517.59 / $2,116.21 / $4,743.70	Professional		$1,517.59	$2,116.21	$4,743.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $2,432.39	Professional		$1,096.42	$1,659.22	$2,432.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.94 / $2,073.31 / $3,814.90	Professional		$1,591.94	$2,073.31	$3,814.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,715.52 / $16,091.60	Facility		$55.00	$15,715.52	$16,091.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,305.76 / $12,593.28 / $15,050.55	Professional		$12,305.76	$12,593.28	$15,050.55
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 $1,658.65 / $2,156.25 / $2,960.80	Facility		$1,658.65	$2,156.25	$2,960.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,526.70 / $2,249.16 / $4,636.85	Professional		$1,526.70	$2,249.16	$4,636.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,575.02 / $5,575.02 / $5,575.02	Professional		$5,575.02	$5,575.02	$5,575.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,696.27 / $2,073.21	Professional		$1,096.42	$1,696.27	$2,073.21
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 $1,383.71 / $1,857.03 / $4,199.02	Professional		$1,383.71	$1,857.03	$4,199.02