Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.80 / $9,639.00 / $20,509.00	Facility		$1,095.80	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $1,132.90 / $6,095.27	Professional		$957.16	$1,132.90	$6,095.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.99 / $1,734.73 / $3,305.02	Professional		$1,333.99	$1,734.73	$3,305.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,189.95 / $1,707.43 / $3,634.40	Professional		$1,189.95	$1,707.43	$3,634.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.98 / $1,579.17 / $3,130.97	Professional		$1,097.98	$1,579.17	$3,130.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.82 / $1,356.79 / $1,792.81	Professional		$1,179.82	$1,356.79	$1,792.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.03 / $1,503.28 / $2,696.25	Professional		$1,083.03	$1,503.28	$2,696.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,341.12 / $5,821.46	Facility		$55.00	$5,341.12	$5,821.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,412.64 / $8,583.92 / $10,028.48	Professional		$8,412.64	$8,583.92	$10,028.48
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 $1,206.88 / $1,494.58 / $2,129.42	Facility		$1,206.88	$1,494.58	$2,129.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.95 / $1,646.51 / $3,088.50	Professional		$1,108.95	$1,646.51	$3,088.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,781.99 / $3,781.99 / $3,781.99	Professional		$3,781.99	$3,781.99	$3,781.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,179.82 / $1,473.30 / $2,231.77	Professional		$1,179.82	$1,473.30	$2,231.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.60 / $1,238.29 / $2,831.64	Professional		$914.60	$1,238.29	$2,831.64