Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.27 / $10,321.00 / $22,788.00	Facility		$2,131.27	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.90 / $2,132.90 / $11,148.60	Professional		$1,798.90	$2,132.90	$11,148.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,192.00 / $18,150.00	Facility		$2,616.00	$8,192.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,911.00 / $2,559.66 / $5,211.10	Professional		$1,911.00	$2,559.66	$5,211.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,929.19	Facility		$66.70	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,374.53 / $1,983.58 / $4,765.58	Professional		$1,374.53	$1,983.58	$4,765.58
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 $1,759.16 / $2,598.27 / $5,752.24	Professional		$1,759.16	$2,598.27	$5,752.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,403.99 / $3,091.60	Professional		$927.77	$1,403.99	$3,091.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,005.19 / $2,613.89 / $4,792.13	Professional		$2,005.19	$2,613.89	$4,792.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,634.96 / $20,054.24	Facility		$55.00	$19,634.96	$20,054.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,370.48 / $15,693.04 / $18,766.88	Professional		$15,370.48	$15,693.04	$18,766.88
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 $2,001.56 / $2,613.89 / $3,660.00	Facility		$2,001.56	$2,613.89	$3,660.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,817.29 / $2,761.90 / $5,752.24	Professional		$1,817.29	$2,761.90	$5,752.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,917.52 / $6,917.52 / $6,917.52	Professional		$6,917.52	$6,917.52	$6,917.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,669.99 / $2,635.91	Professional		$927.77	$1,669.99	$2,635.91
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 $1,694.52 / $2,286.02 / $5,425.58	Professional		$1,694.52	$2,286.02	$5,425.58