Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.76 / $9,674.00 / $22,788.00	Facility		$1,600.76	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.34 / $1,587.16 / $7,841.36	Professional		$1,342.34	$1,587.16	$7,841.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,869.27 / $20,248.00	Facility		$2,456.00	$8,869.27	$20,248.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.44 / $2,021.88 / $4,112.05	Professional		$1,439.44	$2,021.88	$4,112.05
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 $979.86 / $1,412.61 / $3,356.46	Professional		$979.86	$1,412.61	$3,356.46
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 $1,365.06 / $1,882.95 / $4,128.79	Professional		$1,365.06	$1,882.95	$4,128.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $835.81 / $1,264.83 / $2,114.88	Professional		$835.81	$1,264.83	$2,114.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,386.17 / $1,805.75 / $3,322.58	Professional		$1,386.17	$1,805.75	$3,322.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,403.04 / $28,043.84	Facility		$55.00	$27,403.04	$28,043.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,728.24 / $10,974.56 / $13,128.68	Professional		$10,728.24	$10,974.56	$13,128.68
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 $1,431.49 / $1,848.23 / $2,602.92	Facility		$1,431.49	$1,848.23	$2,602.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,406.79 / $1,968.14 / $4,060.90	Professional		$1,406.79	$1,968.14	$4,060.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,865.41 / $4,865.41 / $4,865.41	Professional		$4,865.41	$4,865.41	$4,865.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $835.81 / $1,420.88 / $1,802.48	Professional		$835.81	$1,420.88	$1,802.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,011.00 / $13,007.00 / $29,312.00	Facility		$3,011.00	$13,007.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.19 / $1,687.57 / $4,393.95	Professional		$1,215.19	$1,687.57	$4,393.95