Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.04 / $9,674.00 / $22,788.00	Facility		$1,352.04	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.63 / $1,352.04 / $6,668.07	Professional		$1,146.63	$1,352.04	$6,668.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,780.00 / $23,711.32	Facility		$3,434.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,362.21 / $1,785.41 / $3,447.26	Professional		$1,362.21	$1,785.41	$3,447.26
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 $980.92 / $1,454.30 / $3,311.53	Professional		$980.92	$1,454.30	$3,311.53
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 $1,230.15 / $1,635.59 / $3,535.81	Professional		$1,230.15	$1,635.59	$3,535.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,800.66	Professional		$801.19	$1,212.43	$1,800.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.77 / $1,536.38 / $2,826.93	Professional		$1,178.77	$1,536.38	$2,826.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,291.36 / $23,860.96	Facility		$55.00	$23,291.36	$23,860.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,130.87 / $9,351.44 / $11,121.68	Professional		$9,130.87	$9,351.44	$11,121.68
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 $1,237.11 / $1,631.97 / $2,216.19	Facility		$1,237.11	$1,631.97	$2,216.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,236.72 / $1,735.01 / $3,455.63	Professional		$1,236.72	$1,735.01	$3,455.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,137.42 / $4,137.42 / $4,137.42	Professional		$4,137.42	$4,137.42	$4,137.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,255.81 / $1,534.87	Professional		$801.19	$1,255.81	$1,534.87
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 $1,053.92 / $1,442.17 / $3,118.42	Professional		$1,053.92	$1,442.17	$3,118.42