Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.45 / $9,821.01 / $22,788.00	Facility		$1,762.45	$9,821.01	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.71 / $1,762.45 / $6,509.13	Professional		$1,492.71	$1,762.45	$6,509.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,707.16 / $2,192.62 / $4,508.39	Professional		$1,707.16	$2,192.62	$4,508.39
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 $1,250.47 / $1,852.74 / $4,346.83	Professional		$1,250.47	$1,852.74	$4,346.83
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 $1,593.11 / $2,142.67 / $4,715.58	Professional		$1,593.11	$2,142.67	$4,715.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.86 / $1,858.66 / $2,509.19	Professional		$1,345.86	$1,858.66	$2,509.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,580.62 / $2,058.26 / $3,795.48	Professional		$1,580.62	$2,058.26	$3,795.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,596.24 / $15,986.08	Facility		$55.00	$15,596.24	$15,986.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,211.20 / $12,510.56 / $14,937.68	Professional		$12,211.20	$12,510.56	$14,937.68
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 $1,652.62 / $2,150.69 / $3,293.22	Facility		$1,652.62	$2,150.69	$3,293.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.43 / $2,283.17 / $4,630.57	Professional		$1,605.43	$2,283.17	$4,630.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,566.05 / $5,566.05 / $5,566.05	Professional		$5,566.05	$5,566.05	$5,566.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,345.86 / $1,884.21 / $2,422.56	Professional		$1,345.86	$1,884.21	$2,422.56
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 $1,385.82 / $1,905.51 / $4,181.24	Professional		$1,385.82	$1,905.51	$4,181.24