Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,597.73 / $10,321.00 / $22,788.00	Facility		$2,597.73	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,463.73 / $2,867.69 / $14,136.00	Professional		$2,463.73	$2,867.69	$14,136.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,215.43 / $8,924.48 / $21,136.00	Facility		$3,215.43	$8,924.48	$21,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,605.30 / $3,595.13 / $7,300.44	Professional		$2,605.30	$3,595.13	$7,300.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,014.73 / $2,973.44 / $7,016.16	Professional		$2,014.73	$2,973.44	$7,016.16
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 $2,545.28 / $3,463.45 / $7,696.53	Professional		$2,545.28	$3,463.45	$7,696.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.09 / $2,642.35 / $3,859.34	Professional		$1,746.09	$2,642.35	$3,859.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,499.67 / $3,275.23 / $5,946.07	Professional		$2,499.67	$3,275.23	$5,946.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,678.42 / $28,514.34	Facility		$55.00	$27,678.42	$28,514.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,347.14 / $21,347.14 / $22,739.55	Professional		$21,347.14	$21,347.14	$22,739.55
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 $2,631.72 / $3,408.59 / $4,749.95	Facility		$2,631.72	$3,408.59	$4,749.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,551.25 / $3,660.73 / $7,343.78	Professional		$2,551.25	$3,660.73	$7,343.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,951.32 / $8,951.32 / $8,951.32	Professional		$8,951.32	$8,951.32	$8,951.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,746.09 / $2,694.87 / $3,293.73	Professional		$1,746.09	$2,694.87	$3,293.73
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 $2,244.48 / $3,037.59 / $6,653.27	Professional		$2,244.48	$3,037.59	$6,653.27