Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.36 / $9,674.00 / $22,788.00	Facility		$1,399.36	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.14 / $1,399.36 / $7,291.17	Professional		$1,191.14	$1,399.36	$7,291.17
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 $1,312.46 / $1,706.19 / $3,521.91	Professional		$1,312.46	$1,706.19	$3,521.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $959.43 / $1,382.01 / $3,254.30	Professional		$959.43	$1,382.01	$3,254.30
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 $1,219.38 / $1,735.61 / $3,844.46	Professional		$1,219.38	$1,735.61	$3,844.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $956.81 / $1,447.94 / $1,972.61	Professional		$956.81	$1,447.94	$1,972.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.11 / $1,681.51 / $3,093.98	Professional		$1,291.11	$1,681.51	$3,093.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,746.40 / $13,042.16	Facility		$55.00	$12,746.40	$13,042.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,913.39 / $12,208.13 / $12,306.53	Professional		$11,913.39	$12,208.13	$12,306.53
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 $1,345.21 / $1,734.47 / $2,643.47	Facility		$1,345.21	$1,734.47	$2,643.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,233.82 / $1,818.21 / $3,773.09	Professional		$1,233.82	$1,818.21	$3,773.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,524.03 / $4,524.03 / $4,524.03	Professional		$4,524.03	$4,524.03	$4,524.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $956.81 / $1,391.72 / $1,722.26	Professional		$956.81	$1,391.72	$1,722.26
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 $1,114.03 / $1,526.63 / $3,289.32	Professional		$1,114.03	$1,526.63	$3,289.32