Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.08 / $9,674.00 / $22,788.00	Facility		$1,297.08	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.24 / $1,297.08 / $6,757.41	Professional		$1,103.24	$1,297.08	$6,757.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,574.00	Facility		$3,917.00	$9,106.31	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.22 / $1,612.86 / $3,245.23	Professional		$1,256.22	$1,612.86	$3,245.23
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 $889.58 / $1,284.56 / $3,014.96	Professional		$889.58	$1,284.56	$3,014.96
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 $1,130.82 / $1,596.08 / $3,569.30	Professional		$1,130.82	$1,596.08	$3,569.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.23 / $1,073.28 / $1,833.52	Professional		$709.23	$1,073.28	$1,833.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.30 / $1,561.61 / $2,873.37	Professional		$1,199.30	$1,561.61	$2,873.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,832.48 / $12,100.72	Facility		$55.00	$11,832.48	$12,100.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,263.28 / $9,470.48 / $11,335.05	Professional		$9,263.28	$9,470.48	$11,335.05
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 $1,245.10 / $1,607.75 / $2,284.80	Facility		$1,245.10	$1,607.75	$2,284.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.39 / $1,683.27 / $3,493.67	Professional		$1,148.39	$1,683.27	$3,493.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,192.84 / $4,192.84 / $4,192.84	Professional		$4,192.84	$4,192.84	$4,192.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.23 / $1,205.69 / $1,562.78	Professional		$709.23	$1,205.69	$1,562.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.66 / $1,430.36 / $3,297.06	Professional		$1,038.66	$1,430.36	$3,297.06