Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.23 / $9,665.00 / $22,788.00	Facility		$1,028.23	$9,665.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.18 / $1,028.23 / $5,266.50	Professional		$845.18	$1,028.23	$5,266.50
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 $936.53 / $1,227.48 / $2,457.15	Professional		$936.53	$1,227.48	$2,457.15
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 $665.96 / $977.96 / $2,334.10	Professional		$665.96	$977.96	$2,334.10
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 $852.66 / $1,245.43 / $2,764.87	Professional		$852.66	$1,245.43	$2,764.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $1,091.86 / $1,481.74	Professional		$721.52	$1,091.86	$1,481.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.54 / $1,233.61 / $2,231.53	Professional		$943.54	$1,233.61	$2,231.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,084.32 / $9,328.24	Facility		$55.00	$9,084.32	$9,328.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,107.68 / $7,297.36 / $8,644.28	Professional		$7,107.68	$7,297.36	$8,644.28
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 $966.54 / $1,244.22 / $1,729.83	Facility		$966.54	$1,244.22	$1,729.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.69 / $1,319.91 / $2,716.17	Professional		$862.69	$1,319.91	$2,716.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,267.75 / $3,267.75 / $3,267.75	Professional		$3,267.75	$3,267.75	$3,267.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $1,034.30 / $1,298.73	Professional		$721.52	$1,034.30	$1,298.73
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 $789.48 / $1,081.88 / $2,556.88	Professional		$789.48	$1,081.88	$2,556.88