Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,280.23 / $10,321.00 / $22,788.00	Facility		$3,280.23	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,144.70 / $3,831.77 / $20,053.30	Professional		$3,144.70	$3,831.77	$20,053.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $5,944.00 / $13,697.00	Facility		$2,424.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,303.43 / $4,563.89 / $9,958.66	Professional		$3,303.43	$4,563.89	$9,958.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,719.51	Facility		$63.90	$100.00	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,654.19 / $3,933.24 / $9,246.26	Professional		$2,654.19	$3,933.24	$9,246.26
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 $3,283.55 / $4,645.58 / $10,321.53	Professional		$3,283.55	$4,645.58	$10,321.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.66 / $2,679.53 / $5,400.28	Professional		$1,770.66	$2,679.53	$5,400.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,540.01 / $4,611.63 / $8,485.39	Professional		$3,540.01	$4,611.63	$8,485.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,994.80 / $35,793.12	Facility		$55.00	$34,994.80	$35,793.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,880.07 / $29,833.10 / $33,533.40	Professional		$28,880.07	$29,833.10	$33,533.40
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 $3,268.05 / $4,585.85 / $6,505.20	Facility		$3,268.05	$4,585.85	$6,505.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,388.97 / $4,925.33 / $10,321.53	Professional		$3,388.97	$4,925.33	$10,321.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,442.71 / $12,442.71 / $12,442.71	Professional		$12,442.71	$12,442.71	$12,442.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,770.66 / $3,187.19 / $4,602.57	Professional		$1,770.66	$3,187.19	$4,602.57
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 $3,070.18 / $4,093.57 / $9,121.62	Professional		$3,070.18	$4,093.57	$9,121.62