Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.08 / $9,674.00 / $22,788.00	Facility		$1,590.08	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.93 / $1,590.08 / $8,121.88	Professional		$1,348.93	$1,590.08	$8,121.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,410.00 / $19,158.00	Facility		$2,675.00	$8,410.00	$19,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $1,977.47 / $3,978.87	Professional		$1,578.92	$1,977.47	$3,978.87
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 $1,094.85 / $1,619.86 / $3,809.63	Professional		$1,094.85	$1,619.86	$3,809.63
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 $1,419.40 / $1,949.32 / $4,312.43	Professional		$1,419.40	$1,949.32	$4,312.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.98 / $1,647.95 / $2,212.17	Professional		$1,088.98	$1,647.95	$2,212.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.02 / $1,868.39 / $3,376.49	Professional		$1,425.02	$1,868.39	$3,376.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,976.00 / $14,320.48	Facility		$55.00	$13,976.00	$14,320.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,136.64 / $11,410.40 / $12,804.53	Professional		$11,136.64	$11,410.40	$12,804.53
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 $1,494.71 / $1,900.35 / $2,672.85	Facility		$1,494.71	$1,900.35	$2,672.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,424.22 / $2,050.03 / $4,117.56	Professional		$1,424.22	$2,050.03	$4,117.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,039.49 / $5,039.49 / $5,039.49	Professional		$5,039.49	$5,039.49	$5,039.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,088.98 / $1,547.66 / $1,960.16	Professional		$1,088.98	$1,547.66	$1,960.16
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 $1,251.32 / $1,698.21 / $3,765.24	Professional		$1,251.32	$1,698.21	$3,765.24