Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.98 / $9,674.00 / $22,788.00	Facility		$1,215.98	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.75 / $1,171.83 / $5,749.61	Professional		$1,016.75	$1,171.83	$5,749.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $10,524.00 / $24,057.00	Facility		$2,143.00	$10,524.00	$24,057.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.49 / $1,559.35 / $3,113.43	Professional		$1,235.49	$1,559.35	$3,113.43
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 $949.19 / $1,399.48 / $3,106.85	Professional		$949.19	$1,399.48	$3,106.85
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 $1,124.33 / $1,543.24 / $3,385.58	Professional		$1,124.33	$1,543.24	$3,385.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $988.46 / $1,163.23 / $1,512.20	Professional		$988.46	$1,163.23	$1,512.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.98 / $1,304.41 / $2,399.08	Professional		$998.98	$1,304.41	$2,399.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,167.58 / $16,582.02	Facility		$55.00	$16,167.58	$16,582.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,803.28 / $8,001.12 / $9,519.15	Professional		$7,803.28	$8,001.12	$9,519.15
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 $1,064.73 / $1,331.98 / $1,867.47	Facility		$1,064.73	$1,331.98	$1,867.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,149.93 / $1,604.97 / $2,988.34	Professional		$1,149.93	$1,604.97	$2,988.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,567.52 / $3,567.52 / $3,567.52	Professional		$3,567.52	$3,567.52	$3,567.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $988.46 / $1,288.59 / $1,482.68	Professional		$988.46	$1,288.59	$1,482.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $6,108.00 / $18,709.00	Facility		$1,671.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.84 / $1,336.60 / $2,823.67	Professional		$924.84	$1,336.60	$2,823.67