Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.39 / $9,674.00 / $22,788.00	Facility		$1,072.39	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.58 / $1,089.11 / $5,997.21	Professional		$992.58	$1,089.11	$5,997.21
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 $1,046.30 / $1,564.90 / $3,246.20	Professional		$1,046.30	$1,564.90	$3,246.20
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 $712.06 / $1,028.36 / $2,486.09	Professional		$712.06	$1,028.36	$2,486.09
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 $994.11 / $1,406.32 / $3,104.71	Professional		$994.11	$1,406.32	$3,104.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $672.37 / $1,017.50 / $1,618.10	Professional		$672.37	$1,017.50	$1,618.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.53 / $1,381.43 / $2,541.82	Professional		$1,060.53	$1,381.43	$2,541.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,481.84 / $10,715.44	Facility		$55.00	$10,481.84	$10,715.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,902.00 / $9,902.00 / $10,046.93	Professional		$9,902.00	$9,902.00	$10,046.93
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 $1,070.84 / $1,390.61 / $2,005.94	Facility		$1,070.84	$1,390.61	$2,005.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.45 / $1,486.92 / $3,104.71	Professional		$1,014.45	$1,486.92	$3,104.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,721.16 / $3,721.16 / $3,721.16	Professional		$3,721.16	$3,721.16	$3,721.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $672.37 / $1,128.33 / $1,379.08	Professional		$672.37	$1,128.33	$1,379.08
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 $882.96 / $1,222.56 / $2,771.63	Professional		$882.96	$1,222.56	$2,771.63