Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.18 / $9,674.00 / $22,788.00	Facility		$1,519.18	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.52 / $1,519.18 / $7,511.28	Professional		$1,299.52	$1,519.18	$7,511.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,596.00 / $21,136.00	Facility		$2,822.00	$9,596.00	$21,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,489.60 / $1,927.82 / $3,878.96	Professional		$1,489.60	$1,927.82	$3,878.96
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 $912.90 / $1,331.03 / $3,179.87	Professional		$912.90	$1,331.03	$3,179.87
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 $1,280.30 / $1,802.03 / $3,949.10	Professional		$1,280.30	$1,802.03	$3,949.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,977.20	Professional		$843.26	$1,276.09	$1,977.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.05 / $1,706.86 / $3,138.78	Professional		$1,307.05	$1,706.86	$3,138.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,049.92 / $26,711.04	Facility		$55.00	$26,049.92	$26,711.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,215.36 / $10,471.12 / $12,465.23	Professional		$10,215.36	$10,471.12	$12,465.23
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 $1,331.21 / $1,727.06 / $2,407.96	Facility		$1,331.21	$1,727.06	$2,407.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,301.94 / $1,870.14 / $3,887.81	Professional		$1,301.94	$1,870.14	$3,887.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,660.60 / $4,660.60 / $4,660.60	Professional		$4,660.60	$4,660.60	$4,660.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,378.46 / $1,684.78	Professional		$843.26	$1,378.46	$1,684.78
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 $1,161.39 / $1,614.67 / $3,517.09	Professional		$1,161.39	$1,614.67	$3,517.09