Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.37 / $10,321.00 / $22,788.00	Facility		$3,175.37	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,010.12 / $3,538.68 / $18,360.20	Professional		$3,010.12	$3,538.68	$18,360.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $9,590.00 / $20,146.00	Facility		$2,883.00	$9,590.00	$20,146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,452.39 / $4,471.97 / $8,844.96	Professional		$3,452.39	$4,471.97	$8,844.96
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 $2,439.28 / $3,564.72 / $8,431.27	Professional		$2,439.28	$3,564.72	$8,431.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,548.45 / $13,334.82 / $15,976.63	Professional		$5,548.45	$13,334.82	$15,976.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,752.42 / $2,651.93 / $4,980.93	Professional		$1,752.42	$2,651.93	$4,980.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,259.51 / $4,244.72 / $7,810.29	Professional		$3,259.51	$4,244.72	$7,810.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $56,301.84 / $57,531.46	Facility		$55.00	$56,301.84	$57,531.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,188.80 / $25,728.72 / $30,819.08	Professional		$25,188.80	$25,728.72	$30,819.08
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 $3,229.89 / $4,272.02 / $6,149.98	Facility		$3,229.89	$4,272.02	$6,149.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,222.89 / $7,510.46 / $9,782.36	Professional		$4,222.89	$7,510.46	$9,782.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,392.18 / $11,392.18 / $11,392.18	Professional		$11,392.18	$11,392.18	$11,392.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,752.42 / $3,087.57 / $4,245.41	Professional		$1,752.42	$3,087.57	$4,245.41
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 $2,807.47 / $3,789.27 / $8,487.14	Professional		$2,807.47	$3,789.27	$8,487.14