Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.79 / $10,068.40 / $22,788.00	Facility		$1,767.79	$10,068.40	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.90 / $1,767.79 / $9,237.35	Professional		$1,508.90	$1,767.79	$9,237.35
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 $1,715.72 / $2,165.46 / $4,489.67	Professional		$1,715.72	$2,165.46	$4,489.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,709.85 / $4,010.45	Professional		$1,185.00	$1,709.85	$4,010.45
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 $1,548.47 / $2,165.56 / $4,845.80	Professional		$1,548.47	$2,165.56	$4,845.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.94 / $1,604.00 / $2,478.13	Professional		$1,059.94	$1,604.00	$2,478.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,626.59 / $2,119.51 / $3,907.66	Professional		$1,626.59	$2,119.51	$3,907.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,098.16 / $16,475.68	Facility		$55.00	$16,098.16	$16,475.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,604.96 / $12,896.08 / $15,430.88	Professional		$12,604.96	$12,896.08	$15,430.88
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 $1,695.61 / $2,168.78 / $3,187.20	Facility		$1,695.61	$2,168.78	$3,187.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,574.67 / $2,289.07 / $4,775.85	Professional		$1,574.67	$2,289.07	$4,775.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,731.60 / $5,731.60 / $5,731.60	Professional		$5,731.60	$5,731.60	$5,731.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,059.94 / $1,727.96 / $2,111.96	Professional		$1,059.94	$1,727.96	$2,111.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $6,108.00 / $18,709.00	Facility		$1,720.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.34 / $1,960.51 / $4,442.07	Professional		$1,419.34	$1,960.51	$4,442.07