Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.51 / $9,665.00 / $22,788.00	Facility		$1,321.51	$9,665.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.41 / $1,309.28 / $4,723.78	Professional		$1,119.41	$1,309.28	$4,723.78
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 $1,254.00 / $1,597.86 / $3,321.44	Professional		$1,254.00	$1,597.86	$3,321.44
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 $888.17 / $1,284.33 / $3,024.39	Professional		$888.17	$1,284.33	$3,024.39
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 $1,141.35 / $1,620.34 / $3,633.20	Professional		$1,141.35	$1,620.34	$3,633.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $810.87 / $1,227.08 / $1,870.52	Professional		$810.87	$1,227.08	$1,870.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.54 / $1,587.00 / $2,923.05	Professional		$1,219.54	$1,587.00	$2,923.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,997.52 / $12,283.12	Facility		$55.00	$11,997.52	$12,283.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,392.32 / $9,613.04 / $11,483.03	Professional		$9,392.32	$9,613.04	$11,483.03
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 $1,254.16 / $1,594.39 / $2,487.07	Facility		$1,254.16	$1,594.39	$2,487.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.38 / $1,711.86 / $3,561.06	Professional		$1,160.38	$1,711.86	$3,561.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,271.85 / $4,271.85 / $4,271.85	Professional		$4,271.85	$4,271.85	$4,271.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $810.87 / $1,304.59 / $1,594.52	Professional		$810.87	$1,304.59	$1,594.52
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 $1,058.93 / $1,402.44 / $3,114.43	Professional		$1,058.93	$1,402.44	$3,114.43