Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.73 / $9,674.00 / $22,788.00	Facility		$1,109.73	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.95 / $1,109.73 / $5,464.70	Professional		$939.95	$1,109.73	$5,464.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $9,887.00 / $21,514.00	Facility		$2,675.00	$9,887.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.59 / $1,397.21 / $2,811.31	Professional		$1,061.59	$1,397.21	$2,811.31
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 $753.23 / $1,117.08 / $2,623.06	Professional		$753.23	$1,117.08	$2,623.06
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 $995.81 / $1,323.13 / $2,880.05	Professional		$995.81	$1,323.13	$2,880.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,479.39	Professional		$590.47	$893.56	$1,479.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.44 / $1,260.69 / $2,319.67	Professional		$967.44	$1,260.69	$2,319.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,355.41 / $8,552.53	Facility		$55.00	$8,355.41	$8,552.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,486.96 / $7,661.92 / $9,116.78	Professional		$7,486.96	$7,661.92	$9,116.78
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 $1,009.96 / $1,311.12 / $1,820.78	Facility		$1,009.96	$1,311.12	$1,820.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $996.62 / $1,407.93 / $2,829.38	Professional		$996.62	$1,407.93	$2,829.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,390.73 / $3,390.73 / $3,390.73	Professional		$3,390.73	$3,390.73	$3,390.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,003.80 / $1,261.07	Professional		$590.47	$1,003.80	$1,261.07
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 $862.96 / $1,171.15 / $2,551.19	Professional		$862.96	$1,171.15	$2,551.19