Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.36 / $9,674.00 / $22,788.00	Facility		$1,377.36	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.63 / $1,377.36 / $7,109.90	Professional		$1,170.63	$1,377.36	$7,109.90
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 $1,333.42 / $1,720.11 / $3,461.02	Professional		$1,333.42	$1,720.11	$3,461.02
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 $929.72 / $1,344.29 / $3,172.20	Professional		$929.72	$1,344.29	$3,172.20
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 $1,210.94 / $1,689.04 / $3,750.66	Professional		$1,210.94	$1,689.04	$3,750.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,352.16 / $1,924.64	Professional		$893.52	$1,352.16	$1,924.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.68 / $1,640.49 / $3,018.50	Professional		$1,259.68	$1,640.49	$3,018.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,435.28 / $12,722.72	Facility		$55.00	$12,435.28	$12,722.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,845.53 / $9,957.20 / $11,912.03	Professional		$9,845.53	$9,957.20	$11,912.03
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 $1,312.39 / $1,701.40 / $2,394.25	Facility		$1,312.39	$1,701.40	$2,394.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.68 / $1,771.06 / $3,678.30	Professional		$1,224.68	$1,771.06	$3,678.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,411.55 / $4,411.55 / $4,411.55	Professional		$4,411.55	$4,411.55	$4,411.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,342.17 / $1,640.43	Professional		$893.52	$1,342.17	$1,640.43
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 $1,088.91 / $1,502.75 / $3,322.61	Professional		$1,088.91	$1,502.75	$3,322.61