Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.10 / $9,674.00 / $22,788.00	Facility		$1,282.10	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.08 / $1,282.10 / $6,568.62	Professional		$1,083.08	$1,282.10	$6,568.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.64 / $1,581.06 / $3,194.84	Professional		$1,232.64	$1,581.06	$3,194.84
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 $855.50 / $1,236.36 / $2,925.01	Professional		$855.50	$1,236.36	$2,925.01
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 $1,101.38 / $1,557.45 / $3,465.89	Professional		$1,101.38	$1,557.45	$3,465.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $1,134.68 / $1,784.93	Professional		$749.81	$1,134.68	$1,784.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.40 / $1,514.64 / $2,785.60	Professional		$1,163.40	$1,514.64	$2,785.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,442.64 / $11,715.28	Facility		$55.00	$11,442.64	$11,715.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,958.32 / $9,168.87 / $10,950.00	Professional		$8,958.32	$9,168.87	$10,950.00
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 $1,211.13 / $1,563.32 / $2,375.05	Facility		$1,211.13	$1,563.32	$2,375.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,134.56 / $1,635.02 / $3,395.41	Professional		$1,134.56	$1,635.02	$3,395.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,075.72 / $4,075.72 / $4,075.72	Professional		$4,075.72	$4,075.72	$4,075.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $1,244.93 / $1,521.58	Professional		$749.81	$1,244.93	$1,521.58
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 $1,014.87 / $1,376.41 / $3,353.82	Professional		$1,014.87	$1,376.41	$3,353.82