Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.55 / $9,674.00 / $22,788.00	Facility		$1,359.55	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.24 / $1,368.10 / $5,382.00	Professional		$1,153.24	$1,368.10	$5,382.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.11 / $1,686.99 / $3,434.74	Professional		$1,311.11	$1,686.99	$3,434.74
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 $939.03 / $1,357.91 / $3,195.33	Professional		$939.03	$1,357.91	$3,195.33
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 $1,191.04 / $1,680.56 / $3,761.81	Professional		$1,191.04	$1,680.56	$3,761.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $881.98 / $1,334.70 / $1,935.23	Professional		$881.98	$1,334.70	$1,935.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.63 / $1,643.28 / $3,027.55	Professional		$1,262.63	$1,643.28	$3,027.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,429.20 / $12,724.88	Facility		$55.00	$12,429.20	$12,724.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,730.24 / $9,959.52 / $11,898.68	Professional		$9,730.24	$9,959.52	$11,898.68
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 $1,196.19 / $1,651.39 / $2,576.17	Facility		$1,196.19	$1,651.39	$2,576.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.85 / $1,768.39 / $3,663.18	Professional		$1,208.85	$1,768.39	$3,663.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,374.64 / $4,374.64 / $4,374.64	Professional		$4,374.64	$4,374.64	$4,374.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $881.98 / $1,349.70 / $1,649.64	Professional		$881.98	$1,349.70	$1,649.64
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 $1,107.25 / $1,482.80 / $3,453.87	Professional		$1,107.25	$1,482.80	$3,453.87