Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,321.00 / $22,788.00	Facility		$2,421.00	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.88 / $2,518.00 / $8,704.58	Professional		$2,096.88	$2,518.00	$8,704.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.78 / $8,410.00 / $19,158.00	Facility		$2,778.78	$8,410.00	$19,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,375.23 / $2,999.60 / $6,073.03	Professional		$2,375.23	$2,999.60	$6,073.03
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 $1,700.15 / $2,458.37 / $5,854.63	Professional		$1,700.15	$2,458.37	$5,854.63
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 $2,130.02 / $3,044.38 / $7,027.44	Professional		$2,130.02	$3,044.38	$7,027.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.53 / $2,210.21 / $3,538.93	Professional		$1,460.53	$2,210.21	$3,538.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,303.17 / $2,999.38 / $5,513.22	Professional		$2,303.17	$2,999.38	$5,513.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,622.96 / $23,127.84	Facility		$55.00	$22,622.96	$23,127.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,711.91 / $18,098.08 / $21,637.80	Professional		$17,711.91	$18,098.08	$21,637.80
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 $2,374.23 / $3,008.03 / $4,222.50	Facility		$2,374.23	$3,008.03	$4,222.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,145.60 / $3,209.96 / $6,722.58	Professional		$2,145.60	$3,209.96	$6,722.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,995.62 / $7,995.62 / $7,995.62	Professional		$7,995.62	$7,995.62	$7,995.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,460.53 / $2,468.41 / $3,016.95	Professional		$1,460.53	$2,468.41	$3,016.95
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 $1,962.90 / $2,663.64 / $6,005.79	Professional		$1,962.90	$2,663.64	$6,005.79