Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.81 / $9,674.00 / $22,788.00	Facility		$1,410.81	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.05 / $1,381.40 / $6,824.14	Professional		$1,202.05	$1,381.40	$6,824.14
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 $1,486.17 / $1,964.00 / $3,785.74	Professional		$1,486.17	$1,964.00	$3,785.74
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 $1,102.54 / $1,626.08 / $3,609.90	Professional		$1,102.54	$1,626.08	$3,609.90
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 $1,333.10 / $1,796.81 / $4,014.92	Professional		$1,333.10	$1,796.81	$4,014.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.94 / $1,372.69 / $1,784.50	Professional		$1,145.94	$1,372.69	$1,784.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.65 / $1,543.68 / $2,837.34	Professional		$1,181.65	$1,543.68	$2,837.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,163.56 / $19,670.68	Facility		$55.00	$19,163.56	$19,670.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,250.16 / $9,490.32 / $11,288.33	Professional		$9,250.16	$9,490.32	$11,288.33
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 $1,258.38 / $1,575.53 / $2,203.89	Facility		$1,258.38	$1,575.53	$2,203.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,354.38 / $1,880.39 / $3,542.85	Professional		$1,354.38	$1,880.39	$3,542.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,234.27 / $4,234.27 / $4,234.27	Professional		$4,234.27	$4,234.27	$4,234.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,145.94 / $1,520.50 / $1,718.91	Professional		$1,145.94	$1,520.50	$1,718.91
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 $1,085.00 / $1,559.95 / $3,582.26	Professional		$1,085.00	$1,559.95	$3,582.26