Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.47 / $9,674.00 / $22,788.00	Facility		$1,358.47	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.88 / $1,358.47 / $7,067.72	Professional		$1,151.88	$1,358.47	$7,067.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.42 / $1,680.92 / $3,432.02	Professional		$1,304.42	$1,680.92	$3,432.02
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 $932.42 / $1,350.26 / $3,178.91	Professional		$932.42	$1,350.26	$3,178.91
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 $1,183.21 / $1,661.11 / $3,725.43	Professional		$1,183.21	$1,661.11	$3,725.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,914.45	Professional		$801.19	$1,212.43	$1,914.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.49 / $1,626.43 / $2,992.62	Professional		$1,249.49	$1,626.43	$2,992.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,304.40 / $12,606.88	Facility		$55.00	$12,304.40	$12,606.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,634.16 / $9,867.04 / $11,775.98	Professional		$9,634.16	$9,867.04	$11,775.98
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 $1,301.14 / $1,678.85 / $2,563.02	Facility		$1,301.14	$1,678.85	$2,563.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,198.53 / $1,757.14 / $3,656.65	Professional		$1,198.53	$1,757.14	$3,656.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,385.38 / $4,385.38 / $4,385.38	Professional		$4,385.38	$4,385.38	$4,385.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,335.20 / $1,631.91	Professional		$801.19	$1,335.20	$1,631.91
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 $1,077.58 / $1,476.68 / $3,270.24	Professional		$1,077.58	$1,476.68	$3,270.24