Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.41 / $10,321.00 / $22,788.00	Facility		$2,570.41	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,437.96 / $3,010.25 / $10,464.70	Professional		$2,437.96	$3,010.25	$10,464.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,244.87 / $9,771.00 / $21,405.00	Facility		$3,244.87	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,773.63 / $3,563.56 / $7,251.19	Professional		$2,773.63	$3,563.56	$7,251.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,972.31 / $2,922.66 / $6,857.67	Professional		$1,972.31	$2,922.66	$6,857.67
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 $2,533.00 / $3,522.64 / $7,689.05	Professional		$2,533.00	$3,522.64	$7,689.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.41 / $2,704.88 / $3,979.21	Professional		$1,787.41	$2,704.88	$3,979.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,611.03 / $3,402.09 / $6,272.77	Professional		$2,611.03	$3,402.09	$6,272.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,063.16 / $29,799.00	Facility		$55.00	$29,063.16	$29,799.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,228.24 / $20,730.64 / $24,760.35	Professional		$20,228.24	$20,730.64	$24,760.35
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 $2,721.67 / $3,428.14 / $4,837.09	Facility		$2,721.67	$3,428.14	$4,837.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,556.36 / $3,712.83 / $7,689.05	Professional		$2,556.36	$3,712.83	$7,689.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,248.27 / $9,248.27 / $9,248.27	Professional		$9,248.27	$9,248.27	$9,248.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,787.41 / $2,774.69 / $3,391.29	Professional		$1,787.41	$2,774.69	$3,391.29
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 $2,299.01 / $3,154.14 / $6,887.82	Professional		$2,299.01	$3,154.14	$6,887.82