Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.04 / $10,070.00 / $22,788.00	Facility		$1,850.04	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.39 / $1,850.04 / $9,441.53	Professional		$1,559.39	$1,850.04	$9,441.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,410.00 / $19,158.00	Facility		$2,675.00	$8,410.00	$19,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,825.72 / $2,304.31 / $4,600.84	Professional		$1,825.72	$2,304.31	$4,600.84
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 $1,249.96 / $1,846.43 / $4,383.35	Professional		$1,249.96	$1,846.43	$4,383.35
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 $1,622.55 / $2,253.15 / $5,055.93	Professional		$1,622.55	$2,253.15	$5,055.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.33 / $1,978.38 / $2,571.89	Professional		$1,280.33	$1,978.38	$2,571.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.85 / $2,161.92 / $3,900.62	Professional		$1,649.85	$2,161.92	$3,900.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,114.48 / $16,542.64	Facility		$55.00	$16,114.48	$16,542.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,831.36 / $13,170.48 / $14,769.90	Professional		$12,831.36	$13,170.48	$14,769.90
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 $1,634.06 / $2,166.62 / $3,059.16	Facility		$1,634.06	$2,166.62	$3,059.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,634.67 / $2,372.84 / $4,816.66	Professional		$1,634.67	$2,372.84	$4,816.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,858.29 / $5,858.29 / $5,858.29	Professional		$5,858.29	$5,858.29	$5,858.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,280.33 / $1,796.75 / $2,196.03	Professional		$1,280.33	$1,796.75	$2,196.03
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 $1,450.96 / $1,946.06 / $4,500.67	Professional		$1,450.96	$1,946.06	$4,500.67