Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.18 / $9,674.00 / $22,788.00	Facility		$1,244.18	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.81 / $1,259.78 / $5,925.14	Professional		$1,018.81	$1,259.78	$5,925.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,914.64 / $14,743.00	Facility		$2,275.00	$6,914.64	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.26 / $1,460.60 / $3,123.82	Professional		$988.26	$1,460.60	$3,123.82
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 $741.73 / $1,075.05 / $2,587.86	Professional		$741.73	$1,075.05	$2,587.86
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 $1,011.47 / $1,443.05 / $3,270.76	Professional		$1,011.47	$1,443.05	$3,270.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,817.15	Professional		$505.96	$765.66	$1,817.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.30 / $1,520.54 / $2,763.42	Professional		$1,164.30	$1,520.54	$2,763.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,274.56 / $11,487.84	Facility		$55.00	$11,274.56	$11,487.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,823.12 / $8,989.04 / $10,744.35	Professional		$8,823.12	$8,989.04	$10,744.35
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 $1,001.49 / $1,462.35 / $2,127.06	Facility		$1,001.49	$1,462.35	$2,127.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.39 / $1,546.20 / $3,270.76	Professional		$1,024.39	$1,546.20	$3,270.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,936.38 / $3,936.38 / $3,936.38	Professional		$3,936.38	$3,936.38	$3,936.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $910.72 / $1,549.98	Professional		$505.96	$910.72	$1,549.98
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 $921.44 / $1,279.02 / $2,960.04	Professional		$921.44	$1,279.02	$2,960.04