Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.33 / $10,321.00 / $22,788.00	Facility		$2,134.33	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.43 / $2,134.33 / $11,102.30	Professional		$1,819.43	$2,134.33	$11,102.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,738.99 / $2,592.69 / $5,288.93	Professional		$1,738.99	$2,592.69	$5,288.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,473.51 / $2,122.05 / $5,020.35	Professional		$1,473.51	$2,122.05	$5,020.35
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 $1,861.14 / $2,611.21 / $5,739.49	Professional		$1,861.14	$2,611.21	$5,739.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $2,966.51	Professional		$843.26	$1,276.09	$2,966.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,947.17 / $2,537.21 / $4,668.47	Professional		$1,947.17	$2,537.21	$4,668.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,270.88 / $19,747.20	Facility		$55.00	$19,270.88	$19,747.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,088.88 / $15,454.88 / $18,473.18	Professional		$15,088.88	$15,454.88	$18,473.18
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 $1,924.00 / $2,537.21 / $3,569.81	Facility		$1,924.00	$2,537.21	$3,569.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,883.95 / $2,756.63 / $5,739.49	Professional		$1,883.95	$2,756.63	$5,739.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,888.78 / $6,888.78 / $6,888.78	Professional		$6,888.78	$6,888.78	$6,888.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,517.87 / $2,528.19	Professional		$843.26	$1,517.87	$2,528.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.84 / $2,325.71 / $5,129.97	Professional		$1,712.84	$2,325.71	$5,129.97