Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.25 / $9,674.00 / $22,788.00	Facility		$1,545.25	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.86 / $1,513.80 / $7,454.66	Professional		$1,291.86	$1,513.80	$7,454.66
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 $1,499.95 / $1,906.51 / $3,836.10	Professional		$1,499.95	$1,906.51	$3,836.10
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 $968.18 / $1,402.95 / $3,307.91	Professional		$968.18	$1,402.95	$3,307.91
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 $1,261.21 / $1,790.03 / $4,020.86	Professional		$1,261.21	$1,790.03	$4,020.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.30 / $2,004.82	Professional		$1,000.00	$1,513.30	$2,004.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.54 / $1,713.93 / $3,153.62	Professional		$1,314.54	$1,713.93	$3,153.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,005.92 / $13,322.48	Facility		$55.00	$13,005.92	$13,322.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,198.32 / $10,442.71 / $12,423.75	Professional		$10,198.32	$10,442.71	$12,423.75
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 $1,227.54 / $1,723.33 / $2,437.50	Facility		$1,227.54	$1,723.33	$2,437.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,310.89 / $1,899.16 / $3,862.65	Professional		$1,310.89	$1,899.16	$3,862.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,625.49 / $4,625.49 / $4,625.49	Professional		$4,625.49	$4,625.49	$4,625.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,417.61 / $1,800.00	Professional		$1,000.00	$1,417.61	$1,800.00
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 $1,166.73 / $1,565.32 / $3,443.91	Professional		$1,166.73	$1,565.32	$3,443.91