Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.74 / $6,322.00 / $17,030.00	Facility		$1,476.74	$6,322.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.53 / $1,403.08 / $5,505.09	Professional		$816.53	$1,403.08	$5,505.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.72 / $1,760.39 / $3,433.83	Professional		$1,013.72	$1,760.39	$3,433.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,208.49	Facility		$66.00	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $921.73 / $1,589.49 / $3,087.20	Professional		$921.73	$1,589.49	$3,087.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.17 / $1,588.47 / $2,917.34	Professional		$945.17	$1,588.47	$2,917.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.20 / $1,440.72 / $2,083.15	Professional		$1,067.20	$1,440.72	$2,083.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.04 / $1,494.08 / $2,680.25	Professional		$926.04	$1,494.08	$2,680.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,265.68 / $6,432.12	Facility		$55.00	$6,265.68	$6,432.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,648.72 / $7,615.88 / $11,737.28	Professional		$6,648.72	$7,615.88	$11,737.28
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 $887.06 / $1,362.92 / $2,140.34	Facility		$887.06	$1,362.92	$2,140.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.82 / $1,658.39 / $2,864.16	Professional		$951.82	$1,658.39	$2,864.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,005.78 / $3,005.78 / $4,997.75	Professional		$3,005.78	$3,005.78	$4,997.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $862.10 / $1,403.14 / $2,090.84	Professional		$862.10	$1,403.14	$2,090.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,810.00 / $21,278.00	Facility		$5,670.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.54 / $1,565.59 / $3,676.20	Professional		$1,162.54	$1,565.59	$3,676.20