Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.75 / $9,674.00 / $22,788.00	Facility		$1,465.75	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.83 / $1,465.75 / $7,629.21	Professional		$1,243.83	$1,465.75	$7,629.21
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 $1,409.39 / $1,847.25 / $3,707.47	Professional		$1,409.39	$1,847.25	$3,707.47
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 $999.89 / $1,445.15 / $3,397.51	Professional		$999.89	$1,445.15	$3,397.51
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 $1,274.21 / $1,803.87 / $4,018.54	Professional		$1,274.21	$1,803.87	$4,018.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $943.78 / $1,428.22 / $2,064.42	Professional		$943.78	$1,428.22	$2,064.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.44 / $1,755.43 / $3,235.32	Professional		$1,348.44	$1,755.43	$3,235.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,287.76 / $13,607.04	Facility		$55.00	$13,287.76	$13,607.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,403.36 / $10,649.84 / $12,722.33	Professional		$10,403.36	$10,649.84	$12,722.33
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 $1,404.34 / $1,788.98 / $2,769.18	Facility		$1,404.34	$1,788.98	$2,769.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,298.77 / $1,898.46 / $3,946.77	Professional		$1,298.77	$1,898.46	$3,946.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,733.78 / $4,733.78 / $4,733.78	Professional		$4,733.78	$4,733.78	$4,733.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.78 / $1,439.76 / $1,759.70	Professional		$943.78	$1,439.76	$1,759.70
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 $1,193.08 / $1,594.70 / $3,860.33	Professional		$1,193.08	$1,594.70	$3,860.33