Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.18 / $9,674.00 / $22,788.00	Facility		$1,516.18	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.92 / $1,457.62 / $7,161.54	Professional		$1,269.92	$1,457.62	$7,161.54
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 $1,402.96 / $1,886.72 / $3,796.28	Professional		$1,402.96	$1,886.72	$3,796.28
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 $986.37 / $1,463.41 / $3,434.96	Professional		$986.37	$1,463.41	$3,434.96
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 $1,343.78 / $1,765.81 / $3,831.69	Professional		$1,343.78	$1,765.81	$3,831.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,468.68 / $1,914.15	Professional		$1,011.91	$1,468.68	$1,914.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.94 / $1,638.56 / $3,014.96	Professional		$1,255.94	$1,638.56	$3,014.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,923.36 / $25,550.08	Facility		$55.00	$24,923.36	$25,550.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,130.10 / $11,130.10 / $11,912.55	Professional		$11,130.10	$11,130.10	$11,912.55
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 $1,356.57 / $1,738.32 / $2,430.21	Facility		$1,356.57	$1,738.32	$2,430.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,350.56 / $1,860.91 / $3,709.01	Professional		$1,350.56	$1,860.91	$3,709.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,443.60 / $4,443.60 / $4,443.60	Professional		$4,443.60	$4,443.60	$4,443.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,416.68 / $1,821.44	Professional		$1,011.91	$1,416.68	$1,821.44
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 $1,134.83 / $1,555.61 / $3,381.65	Professional		$1,134.83	$1,555.61	$3,381.65