Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.80 / $11,790.00 / $25,694.00	Facility		$1,266.80	$11,790.00	$25,694.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.16 / $1,266.80 / $6,617.42	Professional		$1,077.16	$1,266.80	$6,617.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,298.00	Facility		$3,917.00	$9,106.31	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.77 / $1,618.94 / $3,159.49	Professional		$1,253.77	$1,618.94	$3,159.49
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 $862.43 / $1,245.24 / $2,923.03	Professional		$862.43	$1,245.24	$2,923.03
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 $1,144.13 / $1,579.96 / $3,452.42	Professional		$1,144.13	$1,579.96	$3,452.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $790.77 / $1,196.66 / $1,867.98	Professional		$790.77	$1,196.66	$1,867.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.08 / $1,538.94 / $2,873.66	Professional		$1,199.08	$1,538.94	$2,873.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,385.24 / $17,785.43	Facility		$55.00	$17,385.24	$17,785.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,807.05 / $11,807.05 / $11,807.05	Professional		$11,807.05	$11,807.05	$11,807.05
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 $1,224.46 / $1,578.79 / $2,321.90	Facility		$1,224.46	$1,578.79	$2,321.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.11 / $1,652.35 / $3,418.80	Professional		$1,150.11	$1,652.35	$3,418.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,106.00 / $4,106.00 / $4,106.00	Professional		$4,106.00	$4,106.00	$4,106.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $790.77 / $1,254.47 / $1,533.25	Professional		$790.77	$1,254.47	$1,533.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $11,228.00 / $26,451.00	Facility		$3,483.00	$11,228.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.61 / $1,384.54 / $3,228.83	Professional		$1,028.61	$1,384.54	$3,228.83