Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.77 / $10,070.00 / $22,788.00	Facility		$1,865.77	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.67 / $1,871.81 / $9,738.54	Professional		$1,581.67	$1,871.81	$9,738.54
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 $1,786.14 / $2,313.40 / $4,695.20	Professional		$1,786.14	$2,313.40	$4,695.20
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 $1,252.08 / $1,811.08 / $4,266.77	Professional		$1,252.08	$1,811.08	$4,266.77
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 $1,617.10 / $2,291.34 / $5,130.97	Professional		$1,617.10	$2,291.34	$5,130.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.94 / $1,811.33 / $2,637.30	Professional		$1,196.94	$1,811.33	$2,637.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,720.67 / $2,239.48 / $4,125.77	Professional		$1,720.67	$2,239.48	$4,125.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,055.70 / $19,525.77	Facility		$55.00	$19,055.70	$19,525.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,261.12 / $13,583.60 / $16,213.35	Professional		$13,261.12	$13,583.60	$16,213.35
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 $1,791.59 / $2,294.21 / $3,509.97	Facility		$1,791.59	$2,294.21	$3,509.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.42 / $2,419.71 / $5,028.60	Professional		$1,640.42	$2,419.71	$5,028.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,042.59 / $6,042.59 / $6,042.59	Professional		$6,042.59	$6,042.59	$6,042.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,196.94 / $1,839.35 / $2,248.09	Professional		$1,196.94	$1,839.35	$2,248.09
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 $1,503.80 / $2,033.90 / $4,506.82	Professional		$1,503.80	$2,033.90	$4,506.82