Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,108.00 / $20,135.00	Facility		$1,587.51	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.72 / $1,102.54 / $5,752.80	Professional		$927.72	$1,102.54	$5,752.80
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 $1,054.35 / $1,389.08 / $2,798.14	Professional		$1,054.35	$1,389.08	$2,798.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $716.60 / $1,036.59 / $2,468.92	Professional		$716.60	$1,036.59	$2,468.92
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 $945.54 / $1,355.73 / $3,055.20	Professional		$945.54	$1,355.73	$3,055.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $765.82 / $1,158.91 / $1,589.13	Professional		$765.82	$1,158.91	$1,589.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.00 / $1,341.26 / $2,456.89	Professional		$1,029.00	$1,341.26	$2,456.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,545.72 / $7,704.66	Facility		$55.00	$7,545.72	$7,704.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,085.69 / $8,085.69 / $9,612.45	Professional		$8,085.69	$8,085.69	$9,612.45
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 $1,040.60 / $1,372.00 / $1,961.52	Facility		$1,040.60	$1,372.00	$1,961.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.65 / $1,435.50 / $2,985.49	Professional		$975.65	$1,435.50	$2,985.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,569.51 / $3,569.51 / $3,569.51	Professional		$3,569.51	$3,569.51	$3,569.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $765.82 / $1,109.71 / $1,378.48	Professional		$765.82	$1,109.71	$1,378.48
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 $872.91 / $1,194.74 / $2,667.28	Professional		$872.91	$1,194.74	$2,667.28