Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.77 / $9,674.00 / $22,788.00	Facility		$1,042.77	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.85 / $1,030.30 / $3,926.44	Professional		$885.85	$1,030.30	$3,926.44
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 $1,053.43 / $1,380.71 / $2,720.46	Professional		$1,053.43	$1,380.71	$2,720.46
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 $770.80 / $1,143.52 / $2,600.46	Professional		$770.80	$1,143.52	$2,600.46
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 $988.29 / $1,291.34 / $2,789.37	Professional		$988.29	$1,291.34	$2,789.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,064.69 / $1,437.33	Professional		$801.19	$1,064.69	$1,437.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $1,183.18 / $2,177.04	Professional		$907.46	$1,183.18	$2,177.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,955.68 / $18,398.24	Facility		$55.00	$17,955.68	$18,398.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,040.16 / $7,212.00 / $8,574.90	Professional		$7,040.16	$7,212.00	$8,574.90
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 $957.64 / $1,277.63 / $2,041.00	Facility		$957.64	$1,277.63	$2,041.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.45 / $1,368.87 / $2,680.14	Professional		$993.45	$1,368.87	$2,680.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,196.56 / $3,196.56 / $3,196.56	Professional		$3,196.56	$3,196.56	$3,196.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,121.67 / $1,442.14	Professional		$801.19	$1,121.67	$1,442.14
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 $814.81 / $1,128.35 / $2,531.71	Professional		$814.81	$1,128.35	$2,531.71