Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.25 / $9,674.00 / $22,788.00	Facility		$1,551.25	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.21 / $1,496.53 / $7,374.23	Professional		$1,287.21	$1,496.53	$7,374.23
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 $1,398.91 / $1,899.10 / $3,885.75	Professional		$1,398.91	$1,899.10	$3,885.75
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 $991.12 / $1,470.49 / $3,464.91	Professional		$991.12	$1,470.49	$3,464.91
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 $1,339.87 / $1,789.45 / $3,910.79	Professional		$1,339.87	$1,789.45	$3,910.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,464.84 / $1,963.62	Professional		$967.98	$1,464.84	$1,963.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,292.33 / $1,686.24 / $3,102.68	Professional		$1,292.33	$1,686.24	$3,102.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,656.96 / $26,294.08	Facility		$55.00	$25,656.96	$26,294.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,060.71 / $10,307.12 / $12,263.25	Professional		$10,060.71	$10,307.12	$12,263.25
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 $1,348.99 / $1,697.65 / $2,425.57	Facility		$1,348.99	$1,697.65	$2,425.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,339.87 / $1,870.55 / $3,818.62	Professional		$1,339.87	$1,870.55	$3,818.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,575.57 / $4,575.57 / $4,575.57	Professional		$4,575.57	$4,575.57	$4,575.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,393.45 / $1,742.36	Professional		$967.98	$1,393.45	$1,742.36
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 $1,168.72 / $1,602.65 / $4,127.35	Professional		$1,168.72	$1,602.65	$4,127.35