Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.73 / $9,674.00 / $22,788.00	Facility		$1,188.73	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.07 / $1,188.73 / $6,210.76	Professional		$1,010.07	$1,188.73	$6,210.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.93 / $1,475.95 / $2,969.74	Professional		$1,153.93	$1,475.95	$2,969.74
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 $802.48 / $1,158.78 / $2,725.43	Professional		$802.48	$1,158.78	$2,725.43
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 $1,034.54 / $1,463.84 / $3,286.85	Professional		$1,034.54	$1,463.84	$3,286.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.86 / $1,202.85 / $1,691.20	Professional		$794.86	$1,202.85	$1,691.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.53 / $1,437.86 / $2,645.67	Professional		$1,104.53	$1,437.86	$2,645.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,883.12 / $11,130.08	Facility		$55.00	$10,883.12	$11,130.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,760.76 / $8,760.76 / $10,419.90	Professional		$8,760.76	$8,760.76	$10,419.90
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 $1,150.29 / $1,472.71 / $2,251.10	Facility		$1,150.29	$1,472.71	$2,251.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.03 / $1,547.10 / $3,212.32	Professional		$1,047.03	$1,547.10	$3,212.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,853.66 / $3,853.66 / $3,853.66	Professional		$3,853.66	$3,853.66	$3,853.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.86 / $1,190.69 / $1,441.57	Professional		$794.86	$1,190.69	$1,441.57
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 $964.88 / $1,299.08 / $3,030.37	Professional		$964.88	$1,299.08	$3,030.37