Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.26 / $9,674.00 / $22,788.00	Facility		$1,637.26	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.48 / $1,637.26 / $8,570.83	Professional		$1,384.48	$1,637.26	$8,570.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,192.00 / $18,150.00	Facility		$2,616.00	$8,192.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,016.63 / $4,057.65	Professional		$1,560.00	$2,016.63	$4,057.65
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 $1,108.25 / $1,602.46 / $3,774.22	Professional		$1,108.25	$1,602.46	$3,774.22
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 $1,409.06 / $2,017.22 / $4,526.55	Professional		$1,409.06	$2,017.22	$4,526.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.76 / $1,562.87 / $2,338.69	Professional		$1,032.76	$1,562.87	$2,338.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.26 / $1,981.26 / $3,641.02	Professional		$1,521.26	$1,981.26	$3,641.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,068.37 / $13,366.99	Facility		$55.00	$13,068.37	$13,366.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,692.40 / $11,955.60 / $14,284.65	Professional		$11,692.40	$11,955.60	$14,284.65
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 $1,551.00 / $1,982.26 / $2,788.98	Facility		$1,551.00	$1,982.26	$2,788.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,432.46 / $2,124.67 / $4,422.63	Professional		$1,432.46	$2,124.67	$4,422.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,318.02 / $5,318.02 / $5,318.02	Professional		$5,318.02	$5,318.02	$5,318.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,032.76 / $1,631.27 / $1,993.77	Professional		$1,032.76	$1,631.27	$1,993.77
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 $1,317.91 / $1,795.42 / $4,171.49	Professional		$1,317.91	$1,795.42	$4,171.49