Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.40 / $9,674.00 / $22,788.00	Facility		$1,454.40	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.02 / $1,454.40 / $7,599.93	Professional		$1,229.02	$1,454.40	$7,599.93
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 $1,393.83 / $1,790.18 / $3,602.02	Professional		$1,393.83	$1,790.18	$3,602.02
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 $973.57 / $1,404.28 / $3,333.46	Professional		$973.57	$1,404.28	$3,333.46
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 $1,234.69 / $1,784.90 / $4,010.83	Professional		$1,234.69	$1,784.90	$4,010.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,239.48 / $2,071.91	Professional		$819.06	$1,239.48	$2,071.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.42 / $1,754.93 / $3,224.81	Professional		$1,347.42	$1,754.93	$3,224.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,572.61 / $11,841.48	Facility		$55.00	$11,572.61	$11,841.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,354.08 / $10,590.72 / $12,648.90	Professional		$10,354.08	$10,590.72	$12,648.90
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 $1,380.66 / $1,796.56 / $2,470.26	Facility		$1,380.66	$1,796.56	$2,470.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.30 / $1,878.67 / $3,924.29	Professional		$1,258.30	$1,878.67	$3,924.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,715.60 / $4,715.60 / $4,715.60	Professional		$4,715.60	$4,715.60	$4,715.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,392.40 / $1,766.36	Professional		$819.06	$1,392.40	$1,766.36
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 $1,155.88 / $1,583.98 / $3,520.10	Professional		$1,155.88	$1,583.98	$3,520.10