Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,184.13 / $10,321.00 / $22,788.00	Facility		$4,184.13	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,969.17 / $4,654.75 / $24,206.20	Professional		$3,969.17	$4,654.75	$24,206.20
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 $4,531.58 / $5,886.48 / $11,739.01	Professional		$4,531.58	$5,886.48	$11,739.01
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 $3,226.52 / $4,749.18 / $11,278.38	Professional		$3,226.52	$4,749.18	$11,278.38
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 $4,046.18 / $5,761.05 / $13,050.36	Professional		$4,046.18	$5,761.05	$13,050.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,347.35 / $3,552.24 / $6,513.75	Professional		$2,347.35	$3,552.24	$6,513.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,272.91 / $5,567.18 / $10,243.60	Professional		$4,272.91	$5,567.18	$10,243.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $73,966.20 / $75,609.80	Facility		$55.00	$73,966.20	$75,609.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,095.04 / $33,817.44 / $40,507.05	Professional		$33,095.04	$33,817.44	$40,507.05
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 $4,239.79 / $5,605.19 / $8,016.93	Facility		$4,239.79	$5,605.19	$8,016.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,181.12 / $6,072.17 / $12,490.80	Professional		$4,181.12	$6,072.17	$12,490.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,019.49 / $15,019.49 / $15,019.49	Professional		$15,019.49	$15,019.49	$15,019.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,347.35 / $4,037.40 / $5,551.43	Professional		$2,347.35	$4,037.40	$5,551.43
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 $3,719.57 / $5,084.56 / $11,182.54	Professional		$3,719.57	$5,084.56	$11,182.54