Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.14 / $9,674.00 / $22,788.00	Facility		$1,159.14	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.75 / $1,159.14 / $6,029.14	Professional		$978.75	$1,159.14	$6,029.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,916.00 / $16,361.00	Facility		$2,143.00	$6,916.00	$16,361.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.09 / $1,383.44 / $2,863.52	Professional		$981.09	$1,383.44	$2,863.52
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 $732.41 / $1,060.19 / $2,557.48	Professional		$732.41	$1,060.19	$2,557.48
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 $993.47 / $1,410.60 / $3,118.26	Professional		$993.47	$1,410.60	$3,118.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $502.61 / $760.60 / $1,648.74	Professional		$502.61	$760.60	$1,648.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.13 / $1,396.34 / $2,565.63	Professional		$1,072.13	$1,396.34	$2,565.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,522.00 / $10,762.08	Facility		$55.00	$10,522.00	$10,762.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,235.68 / $8,423.68 / $10,067.18	Professional		$8,235.68	$8,423.68	$10,067.18
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 $1,014.36 / $1,395.09 / $1,965.56	Facility		$1,014.36	$1,395.09	$1,965.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,006.21 / $1,497.64 / $3,118.26	Professional		$1,006.21	$1,497.64	$3,118.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,740.96 / $3,740.96 / $3,740.96	Professional		$3,740.96	$3,740.96	$3,740.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.61 / $904.69 / $1,405.58	Professional		$502.61	$904.69	$1,405.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.33 / $1,286.30 / $3,573.95	Professional		$921.33	$1,286.30	$3,573.95