Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.01 / $9,674.00 / $22,788.00	Facility		$1,236.01	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.10 / $1,207.48 / $3,563.44	Professional		$1,007.10	$1,207.48	$3,563.44
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 $1,195.06 / $1,541.62 / $3,101.89	Professional		$1,195.06	$1,541.62	$3,101.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,403.01	Facility		$66.70	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $811.71 / $1,169.08 / $2,799.69	Professional		$811.71	$1,169.08	$2,799.69
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 $1,058.64 / $1,521.60 / $3,458.83	Professional		$1,058.64	$1,521.60	$3,458.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,126.80 / $1,798.07	Professional		$744.60	$1,126.80	$1,798.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.73 / $1,523.42 / $2,799.77	Professional		$1,169.73	$1,523.42	$2,799.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,049.76 / $10,264.66	Facility		$55.00	$10,049.76	$10,264.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,991.84 / $9,181.28 / $10,984.80	Professional		$8,991.84	$9,181.28	$10,984.80
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 $1,171.64 / $1,551.07 / $2,145.00	Facility		$1,171.64	$1,551.07	$2,145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,114.32 / $1,615.85 / $3,372.88	Professional		$1,114.32	$1,615.85	$3,372.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,066.79 / $4,066.79 / $4,066.79	Professional		$4,066.79	$4,066.79	$4,066.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,254.18 / $1,532.88	Professional		$744.60	$1,254.18	$1,532.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.65 / $1,351.17 / $3,189.70	Professional		$997.65	$1,351.17	$3,189.70