Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.58 / $9,674.00 / $22,788.00	Facility		$1,073.58	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.16 / $1,073.58 / $5,357.98	Professional		$903.16	$1,073.58	$5,357.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $10,474.00 / $21,835.83	Facility		$2,675.00	$10,474.00	$21,835.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,298.79 / $2,613.29	Professional		$1,027.00	$1,298.79	$2,613.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $686.48 / $997.70 / $2,374.76	Professional		$686.48	$997.70	$2,374.76
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 $919.05 / $1,286.30 / $2,898.20	Professional		$919.05	$1,286.30	$2,898.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $696.95 / $1,054.68 / $1,542.19	Professional		$696.95	$1,054.68	$1,542.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.59 / $1,286.22 / $2,308.37	Professional		$980.59	$1,286.22	$2,308.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,301.29 / $8,500.24	Facility		$55.00	$8,301.29	$8,500.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,531.04 / $7,710.96 / $8,733.45	Professional		$7,531.04	$7,710.96	$8,733.45
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 $1,009.19 / $1,304.23 / $1,797.74	Facility		$1,009.19	$1,304.23	$1,797.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $931.36 / $1,362.11 / $2,752.75	Professional		$931.36	$1,362.11	$2,752.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,324.52 / $3,324.52 / $3,324.52	Professional		$3,324.52	$3,324.52	$3,324.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $696.95 / $1,077.51 / $1,316.95	Professional		$696.95	$1,077.51	$1,316.95
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 $822.36 / $1,113.38 / $2,606.34	Professional		$822.36	$1,113.38	$2,606.34