Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.47 / $9,674.00 / $22,788.00	Facility		$1,303.47	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.86 / $1,303.47 / $6,796.55	Professional		$1,103.86	$1,303.47	$6,796.55
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 $1,247.88 / $1,586.18 / $3,270.56	Professional		$1,247.88	$1,586.18	$3,270.56
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 $874.37 / $1,264.26 / $2,980.57	Professional		$874.37	$1,264.26	$2,980.57
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 $1,140.65 / $1,600.48 / $3,514.85	Professional		$1,140.65	$1,600.48	$3,514.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,020.88 / $1,846.85	Professional		$674.61	$1,020.88	$1,846.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.65 / $1,566.31 / $2,884.29	Professional		$1,203.65	$1,566.31	$2,884.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,837.84 / $12,123.68	Facility		$55.00	$11,837.84	$12,123.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,268.32 / $9,488.08 / $11,326.20	Professional		$9,268.32	$9,488.08	$11,326.20
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 $1,253.05 / $1,604.87 / $2,214.21	Facility		$1,253.05	$1,604.87	$2,214.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,144.22 / $1,689.79 / $3,514.85	Professional		$1,144.22	$1,689.79	$3,514.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,217.14 / $4,217.14 / $4,217.14	Professional		$4,217.14	$4,217.14	$4,217.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,146.83 / $1,574.38	Professional		$674.61	$1,146.83	$1,574.38
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 $1,035.46 / $1,418.96 / $3,171.05	Professional		$1,035.46	$1,418.96	$3,171.05