Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.31 / $9,674.00 / $22,788.00	Facility		$1,531.31	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.86 / $1,531.31 / $7,568.80	Professional		$1,309.86	$1,531.31	$7,568.80
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 $1,575.67 / $2,141.69 / $4,085.07	Professional		$1,575.67	$2,141.69	$4,085.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,722.52 / $3,927.24	Professional		$1,162.00	$1,722.52	$3,927.24
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 $1,431.75 / $1,878.34 / $4,077.83	Professional		$1,431.75	$1,878.34	$4,077.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.77 / $1,537.23 / $2,050.07	Professional		$1,083.77	$1,537.23	$2,050.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,319.92 / $1,723.39 / $3,351.16	Professional		$1,319.92	$1,723.39	$3,351.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,286.56 / $26,954.24	Facility		$55.00	$26,286.56	$26,954.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,702.45 / $10,702.45 / $12,575.70	Professional		$10,702.45	$10,702.45	$12,575.70
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 $1,406.64 / $1,865.48 / $2,668.94	Facility		$1,406.64	$1,865.48	$2,668.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $1,999.52 / $3,922.85	Professional		$1,459.27	$1,999.52	$3,922.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,696.30 / $4,696.30 / $4,696.30	Professional		$4,696.30	$4,696.30	$4,696.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,083.77 / $1,517.27 / $1,950.78	Professional		$1,083.77	$1,517.27	$1,950.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $5,978.00 / $18,709.00	Facility		$1,720.00	$5,978.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.77 / $1,657.00 / $3,603.42	Professional		$1,201.77	$1,657.00	$3,603.42