Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.72 / $10,220.00 / $22,788.00	Facility		$1,870.72	$10,220.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.36 / $1,954.46 / $10,220.00	Professional		$1,560.36	$1,954.46	$10,220.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,914.64 / $14,743.00	Facility		$2,275.00	$6,914.64	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.84 / $2,355.69 / $4,788.82	Professional		$1,678.84	$2,355.69	$4,788.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,241.30 / $1,789.76 / $4,322.75	Professional		$1,241.30	$1,789.76	$4,322.75
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 $1,590.40 / $2,336.46 / $5,270.39	Professional		$1,590.40	$2,336.46	$5,270.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,020.88 / $2,847.23	Professional		$674.61	$1,020.88	$2,847.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,843.15 / $2,402.62 / $4,400.07	Professional		$1,843.15	$2,402.62	$4,400.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,017.36 / $18,396.56	Facility		$55.00	$18,017.36	$18,396.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,104.32 / $14,396.16 / $17,210.63	Professional		$14,104.32	$14,396.16	$17,210.63
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 $1,749.64 / $2,345.37 / $3,364.56	Facility		$1,749.64	$2,345.37	$3,364.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,680.45 / $2,526.46 / $5,270.39	Professional		$1,680.45	$2,526.46	$5,270.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,341.30 / $6,341.30 / $6,341.30	Professional		$6,341.30	$6,341.30	$6,341.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,214.29 / $2,427.73	Professional		$674.61	$1,214.29	$2,427.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $5,978.00 / $18,709.00	Facility		$1,592.00	$5,978.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.48 / $2,069.29 / $4,737.33	Professional		$1,494.48	$2,069.29	$4,737.33