Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $8,774.00 / $22,788.00	Facility		$3,696.00	$8,774.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,206.56 / $4,903.13 / $17,965.56	Professional		$4,206.56	$4,903.13	$17,965.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,805.92 / $18,758.00	Facility		$3,765.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,592.07 / $5,860.07 / $12,608.48	Professional		$2,592.07	$5,860.07	$12,608.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $14,991.47	Facility		$66.70	$100.00	$14,991.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,335.70 / $4,899.68 / $11,473.16	Professional		$3,335.70	$4,899.68	$11,473.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,597.96	Facility		$633.00	$766.00	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,271.88 / $5,996.34 / $13,063.20	Professional		$4,271.88	$5,996.34	$13,063.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.77 / $960.60 / $6,669.51	Professional		$634.77	$960.60	$6,669.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,409.82 / $5,754.18 / $11,543.38	Professional		$4,409.82	$5,754.18	$11,543.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,923.68 / $44,973.44	Facility		$55.00	$43,923.68	$44,973.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,397.28 / $35,203.28 / $42,176.33	Professional		$34,397.28	$35,203.28	$42,176.33
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 $3,694.33 / $5,701.31 / $8,133.45	Facility		$3,694.33	$5,701.31	$8,133.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,355.50 / $6,264.27 / $13,038.88	Professional		$4,355.50	$6,264.27	$13,038.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,734.93 / $15,734.93 / $15,734.93	Professional		$15,734.93	$15,734.93	$15,734.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $634.77 / $1,142.58 / $5,682.53	Professional		$634.77	$1,142.58	$5,682.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,905.55 / $5,360.03 / $11,833.00	Professional		$3,905.55	$5,360.03	$11,833.00