Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.05 / $9,674.00 / $22,788.00	Facility		$1,346.05	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.53 / $1,346.05 / $7,006.81	Professional		$1,140.53	$1,346.05	$7,006.81
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 $1,290.08 / $1,648.00 / $3,385.55	Professional		$1,290.08	$1,648.00	$3,385.55
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 $902.63 / $1,305.10 / $3,073.57	Professional		$902.63	$1,305.10	$3,073.57
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 $1,161.73 / $1,651.04 / $3,697.27	Professional		$1,161.73	$1,651.04	$3,697.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $771.78 / $1,167.92 / $1,902.45	Professional		$771.78	$1,167.92	$1,902.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.85 / $1,614.83 / $2,974.88	Professional		$1,240.85	$1,614.83	$2,974.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,211.36 / $12,503.20	Facility		$55.00	$12,211.36	$12,503.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,559.44 / $9,785.04 / $11,690.18	Professional		$9,559.44	$9,785.04	$11,690.18
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 $1,291.85 / $1,650.00 / $2,371.19	Facility		$1,291.85	$1,650.00	$2,371.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.88 / $1,743.86 / $3,624.47	Professional		$1,182.88	$1,743.86	$3,624.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,347.59 / $4,347.59 / $4,347.59	Professional		$4,347.59	$4,347.59	$4,347.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $771.78 / $1,312.02 / $1,621.70	Professional		$771.78	$1,312.02	$1,621.70
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 $1,079.83 / $1,474.37 / $3,242.74	Professional		$1,079.83	$1,474.37	$3,242.74