Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.28 / $9,674.00 / $22,788.00	Facility		$1,350.28	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.64 / $1,350.28 / $6,747.35	Professional		$1,146.64	$1,350.28	$6,747.35
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 $1,265.58 / $1,714.13 / $3,449.00	Professional		$1,265.58	$1,714.13	$3,449.00
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 $897.77 / $1,331.81 / $3,159.17	Professional		$897.77	$1,331.81	$3,159.17
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 $1,230.13 / $1,656.32 / $3,631.53	Professional		$1,230.13	$1,656.32	$3,631.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,825.29	Professional		$590.47	$893.56	$1,825.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.10 / $1,556.18 / $2,863.36	Professional		$1,194.10	$1,556.18	$2,863.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,580.80 / $24,152.64	Facility		$55.00	$23,580.80	$24,152.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,244.32 / $9,465.68 / $11,258.03	Professional		$9,244.32	$9,465.68	$11,258.03
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 $1,244.94 / $1,563.53 / $2,212.21	Facility		$1,244.94	$1,563.53	$2,212.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.13 / $1,733.42 / $3,505.62	Professional		$1,230.13	$1,733.42	$3,505.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,186.59 / $4,186.59 / $4,186.59	Professional		$4,186.59	$4,186.59	$4,186.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,062.83 / $1,555.92	Professional		$590.47	$1,062.83	$1,555.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,446.65 / $3,118.87	Professional		$1,057.01	$1,446.65	$3,118.87