Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.80 / $9,674.00 / $22,788.00	Facility		$1,335.80	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.66 / $1,338.26 / $7,002.03	Professional		$1,137.66	$1,338.26	$7,002.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,022.00 / $10,722.00 / $22,593.00	Facility		$3,022.00	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.66 / $1,685.34 / $3,391.06	Professional		$1,345.66	$1,685.34	$3,391.06
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 $928.35 / $1,359.63 / $3,199.38	Professional		$928.35	$1,359.63	$3,199.38
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 $1,189.03 / $1,660.15 / $3,692.04	Professional		$1,189.03	$1,660.15	$3,692.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $771.78 / $1,167.92 / $1,896.39	Professional		$771.78	$1,167.92	$1,896.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.77 / $1,615.83 / $3,180.10	Professional		$1,240.77	$1,615.83	$3,180.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,245.28 / $12,521.68	Facility		$55.00	$12,245.28	$12,521.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,845.53 / $9,845.53 / $11,727.45	Professional		$9,845.53	$9,845.53	$11,727.45
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 $1,292.66 / $1,667.85 / $2,334.02	Facility		$1,292.66	$1,667.85	$2,334.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,201.46 / $1,744.20 / $3,623.05	Professional		$1,201.46	$1,744.20	$3,623.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,344.62 / $4,344.62 / $4,344.62	Professional		$4,344.62	$4,344.62	$4,344.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $771.78 / $1,312.02 / $1,616.37	Professional		$771.78	$1,312.02	$1,616.37
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 $1,085.44 / $1,472.08 / $3,288.46	Professional		$1,085.44	$1,472.08	$3,288.46