Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.44 / $10,321.00 / $22,788.00	Facility		$2,578.44	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,445.76 / $2,868.84 / $14,968.40	Professional		$2,445.76	$2,868.84	$14,968.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,253.91 / $9,771.00 / $21,405.00	Facility		$3,253.91	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,781.36 / $3,582.11 / $7,270.77	Professional		$2,781.36	$3,582.11	$7,270.77
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 $1,983.40 / $2,938.69 / $6,895.05	Professional		$1,983.40	$2,938.69	$6,895.05
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 $2,546.50 / $3,538.31 / $7,721.29	Professional		$2,546.50	$3,538.31	$7,721.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.41 / $2,704.88 / $3,996.21	Professional		$1,787.41	$2,704.88	$3,996.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,622.34 / $3,416.85 / $6,299.92	Professional		$2,622.34	$3,416.85	$6,299.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,190.33 / $29,930.04	Facility		$55.00	$29,190.33	$29,930.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,316.80 / $20,821.75 / $24,869.40	Professional		$20,316.80	$20,821.75	$24,869.40
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 $2,733.48 / $3,442.91 / $4,864.72	Facility		$2,733.48	$3,442.91	$4,864.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,566.44 / $3,728.62 / $7,721.29	Professional		$2,566.44	$3,728.62	$7,721.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,287.61 / $9,287.61 / $9,287.61	Professional		$9,287.61	$9,287.61	$9,287.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,787.41 / $2,786.54 / $3,405.78	Professional		$1,787.41	$2,786.54	$3,405.78
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 $2,326.92 / $3,137.98 / $6,975.71	Professional		$2,326.92	$3,137.98	$6,975.71