Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.25 / $10,321.00 / $22,788.00	Facility		$2,666.25	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,532.92 / $2,991.73 / $15,635.60	Professional		$2,532.92	$2,991.73	$15,635.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,332.31 / $8,947.00 / $19,298.00	Facility		$3,332.31	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,148.69 / $3,528.74 / $7,241.65	Professional		$2,148.69	$3,528.74	$7,241.65
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 $1,755.62 / $2,553.35 / $6,198.02	Professional		$1,755.62	$2,553.35	$6,198.02
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 $2,118.46 / $3,585.26 / $8,076.23	Professional		$2,118.46	$3,585.26	$8,076.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.71 / $1,754.99 / $4,152.03	Professional		$1,159.71	$1,754.99	$4,152.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,733.01 / $3,563.18 / $6,564.51	Professional		$2,733.01	$3,563.18	$6,564.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,115.76 / $27,784.48	Facility		$55.00	$27,115.76	$27,784.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,233.36 / $21,746.64 / $26,008.28	Professional		$21,233.36	$21,746.64	$26,008.28
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 $1,965.60 / $3,427.62 / $4,903.07	Facility		$1,965.60	$3,427.62	$4,903.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,138.94 / $3,831.89 / $8,076.23	Professional		$2,138.94	$3,831.89	$8,076.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,701.61 / $9,701.61 / $9,701.61	Professional		$9,701.61	$9,701.61	$9,701.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,159.71 / $2,087.48 / $3,538.18	Professional		$1,159.71	$2,087.48	$3,538.18
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 $2,308.28 / $3,204.03 / $7,219.22	Professional		$2,308.28	$3,204.03	$7,219.22