Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.09 / $9,674.00 / $22,788.00	Facility		$1,316.09	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.52 / $1,338.99 / $4,790.30	Professional		$1,120.52	$1,338.99	$4,790.30
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 $1,316.11 / $1,648.33 / $3,316.60	Professional		$1,316.11	$1,648.33	$3,316.60
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 $913.17 / $1,335.02 / $3,138.55	Professional		$913.17	$1,335.02	$3,138.55
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 $1,166.94 / $1,634.21 / $3,634.14	Professional		$1,166.94	$1,634.21	$3,634.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,866.22	Professional		$801.19	$1,212.43	$1,866.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.76 / $1,589.68 / $2,925.00	Professional		$1,220.76	$1,589.68	$2,925.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,045.44 / $12,322.24	Facility		$55.00	$12,045.44	$12,322.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,431.20 / $9,644.56 / $11,536.05	Professional		$9,431.20	$9,644.56	$11,536.05
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 $1,271.74 / $1,630.65 / $2,238.06	Facility		$1,271.74	$1,630.65	$2,238.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,183.07 / $1,715.40 / $3,563.05	Professional		$1,183.07	$1,715.40	$3,563.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,272.89 / $4,272.89 / $4,272.89	Professional		$4,272.89	$4,272.89	$4,272.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,301.45 / $1,590.67	Professional		$801.19	$1,301.45	$1,590.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.92 / $1,456.37 / $3,218.63	Professional		$1,051.92	$1,456.37	$3,218.63