Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.87 / $9,674.00 / $22,788.00	Facility		$1,494.87	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.83 / $1,516.66 / $7,948.18	Professional		$1,254.83	$1,516.66	$7,948.18
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 $1,422.72 / $1,850.13 / $3,722.65	Professional		$1,422.72	$1,850.13	$3,722.65
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 $1,002.65 / $1,447.72 / $3,431.21	Professional		$1,002.65	$1,447.72	$3,431.21
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 $1,291.56 / $1,840.88 / $4,107.25	Professional		$1,291.56	$1,840.88	$4,107.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $842.89 / $1,275.54 / $2,176.79	Professional		$842.89	$1,275.54	$2,176.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.57 / $1,841.90 / $3,380.50	Professional		$1,413.57	$1,841.90	$3,380.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,125.12 / $12,404.63	Facility		$55.00	$12,125.12	$12,404.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,848.56 / $11,094.64 / $13,247.03	Professional		$10,848.56	$11,094.64	$13,247.03
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 $1,404.03 / $1,864.23 / $2,591.54	Facility		$1,404.03	$1,864.23	$2,591.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,331.60 / $1,951.97 / $4,100.46	Professional		$1,331.60	$1,951.97	$4,100.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,931.68 / $4,931.68 / $4,931.68	Professional		$4,931.68	$4,931.68	$4,931.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $842.89 / $1,432.91 / $1,855.87	Professional		$842.89	$1,432.91	$1,855.87
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 $1,186.64 / $1,614.65 / $3,682.56	Professional		$1,186.64	$1,614.65	$3,682.56