Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.17 / $9,674.00 / $22,788.00	Facility		$1,058.17	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.68 / $1,058.17 / $5,477.80	Professional		$890.68	$1,058.17	$5,477.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.98 / $1,307.65 / $2,646.80	Professional		$1,005.98	$1,307.65	$2,646.80
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 $750.44 / $1,086.33 / $2,565.08	Professional		$750.44	$1,086.33	$2,565.08
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 $936.31 / $1,303.99 / $2,914.47	Professional		$936.31	$1,303.99	$2,914.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $925.10 / $1,508.35	Professional		$611.32	$925.10	$1,508.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.02 / $1,274.50 / $2,336.91	Professional		$978.02	$1,274.50	$2,336.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,574.48 / $9,808.48	Facility		$55.00	$9,574.48	$9,808.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,495.28 / $7,675.60 / $9,149.62	Professional		$7,495.28	$7,675.60	$9,149.62
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 $1,017.13 / $1,322.27 / $1,976.72	Facility		$1,017.13	$1,322.27	$1,976.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $956.13 / $1,389.23 / $2,826.65	Professional		$956.13	$1,389.23	$2,826.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,398.88 / $3,398.88 / $3,398.88	Professional		$3,398.88	$3,398.88	$3,398.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $1,039.24 / $1,286.04	Professional		$611.32	$1,039.24	$1,286.04
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 $843.08 / $1,139.97 / $2,557.23	Professional		$843.08	$1,139.97	$2,557.23