Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,543.72 / $10,321.00 / $22,788.00	Facility		$3,543.72	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,399.47 / $4,195.02 / $21,963.00	Professional		$3,399.47	$4,195.02	$21,963.00
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 $3,953.45 / $5,244.41 / $10,490.43	Professional		$3,953.45	$5,244.41	$10,490.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,927.09 / $4,309.16 / $10,228.34	Professional		$2,927.09	$4,309.16	$10,228.34
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 $3,670.59 / $5,184.43 / $11,877.22	Professional		$3,670.59	$5,184.43	$11,877.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.34 / $3,214.76 / $5,934.10	Professional		$2,124.34	$3,214.76	$5,934.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,887.35 / $5,063.55 / $9,316.93	Professional		$3,887.35	$5,063.55	$9,316.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $67,211.06 / $68,706.25	Facility		$55.00	$67,211.06	$68,706.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,072.24 / $30,727.60 / $36,794.33	Professional		$30,072.24	$30,727.60	$36,794.33
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 $3,783.15 / $5,095.55 / $7,303.50	Facility		$3,783.15	$5,095.55	$7,303.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,802.37 / $5,512.38 / $11,347.95	Professional		$3,802.37	$5,512.38	$11,347.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,627.68 / $13,627.68 / $13,627.68	Professional		$13,627.68	$13,627.68	$13,627.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,124.34 / $3,678.30 / $5,057.66	Professional		$2,124.34	$3,678.30	$5,057.66
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 $3,346.65 / $4,494.96 / $10,149.66	Professional		$3,346.65	$4,494.96	$10,149.66