Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.92 / $10,321.00 / $22,788.00	Facility		$2,279.92	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.07 / $2,279.92 / $11,877.50	Professional		$1,950.07	$2,279.92	$11,877.50
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 $1,734.28 / $2,698.17 / $5,811.73	Professional		$1,734.28	$2,698.17	$5,811.73
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 $1,568.54 / $2,323.25 / $5,439.84	Professional		$1,568.54	$2,323.25	$5,439.84
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 $2,018.55 / $2,808.18 / $6,136.69	Professional		$2,018.55	$2,808.18	$6,136.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $777.73 / $1,176.95 / $3,164.79	Professional		$777.73	$1,176.95	$3,164.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,082.84 / $2,715.30 / $4,996.14	Professional		$2,082.84	$2,715.30	$4,996.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,661.43 / $21,156.16	Facility		$55.00	$20,661.43	$21,156.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,177.76 / $16,558.32 / $19,820.48	Professional		$16,177.76	$16,558.32	$19,820.48
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 $2,111.15 / $2,737.24 / $3,850.52	Facility		$2,111.15	$2,737.24	$3,850.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,043.64 / $2,958.68 / $6,136.69	Professional		$2,043.64	$2,958.68	$6,136.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,369.81 / $7,369.81 / $7,369.81	Professional		$7,369.81	$7,369.81	$7,369.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $777.73 / $1,399.92 / $2,696.89	Professional		$777.73	$1,399.92	$2,696.89
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 $1,820.34 / $2,466.06 / $5,483.99	Professional		$1,820.34	$2,466.06	$5,483.99