Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.38 / $9,674.00 / $22,788.00	Facility		$1,395.38	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.04 / $1,395.38 / $6,852.28	Professional		$1,187.04	$1,395.38	$6,852.28
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 $1,409.02 / $1,770.27 / $3,561.37	Professional		$1,409.02	$1,770.27	$3,561.37
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 $957.06 / $1,420.35 / $3,332.90	Professional		$957.06	$1,420.35	$3,332.90
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 $1,255.50 / $1,671.75 / $3,657.73	Professional		$1,255.50	$1,671.75	$3,657.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,830.83	Professional		$801.19	$1,212.43	$1,830.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.34 / $1,569.66 / $2,888.18	Professional		$1,203.34	$1,569.66	$2,888.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,862.08 / $24,443.68	Facility		$55.00	$23,862.08	$24,443.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,355.76 / $9,581.52 / $11,404.43	Professional		$9,355.76	$9,581.52	$11,404.43
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 $1,267.98 / $1,639.61 / $2,260.64	Facility		$1,267.98	$1,639.61	$2,260.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,279.46 / $1,762.96 / $3,547.28	Professional		$1,279.46	$1,762.96	$3,547.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,251.70 / $4,251.70 / $4,251.70	Professional		$4,251.70	$4,251.70	$4,251.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,276.68 / $1,560.38	Professional		$801.19	$1,276.68	$1,560.38
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 $1,085.28 / $1,511.63 / $3,590.10	Professional		$1,085.28	$1,511.63	$3,590.10