Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.53 / $9,674.00 / $22,788.00	Facility		$1,145.53	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.60 / $1,145.53 / $5,983.62	Professional		$967.60	$1,145.53	$5,983.62
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 $1,095.33 / $1,395.87 / $2,868.61	Professional		$1,095.33	$1,395.87	$2,868.61
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 $762.45 / $1,103.63 / $2,603.88	Professional		$762.45	$1,103.63	$2,603.88
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 $1,001.03 / $1,409.41 / $3,095.67	Professional		$1,001.03	$1,409.41	$3,095.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $925.10 / $1,636.34	Professional		$611.32	$925.10	$1,636.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.58 / $1,384.59 / $2,544.78	Professional		$1,063.58	$1,384.59	$2,544.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,435.12 / $10,682.32	Facility		$55.00	$10,435.12	$10,682.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,169.92 / $8,361.20 / $9,976.73	Professional		$8,169.92	$8,361.20	$9,976.73
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 $1,106.67 / $1,410.00 / $2,013.95	Facility		$1,106.67	$1,410.00	$2,013.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.46 / $1,487.18 / $3,095.67	Professional		$1,003.46	$1,487.18	$3,095.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,712.73 / $3,712.73 / $3,712.73	Professional		$3,712.73	$3,712.73	$3,712.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $1,039.24 / $1,395.05	Professional		$611.32	$1,039.24	$1,395.05
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 $911.69 / $1,247.27 / $2,932.77	Professional		$911.69	$1,247.27	$2,932.77