Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.29 / $9,674.00 / $22,788.00	Facility		$1,174.29	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.29 / $1,174.29 / $6,092.13	Professional		$994.29	$1,174.29	$6,092.13
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 $1,066.08 / $1,421.21 / $2,949.00	Professional		$1,066.08	$1,421.21	$2,949.00
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 $751.18 / $1,087.39 / $2,596.14	Professional		$751.18	$1,087.39	$2,596.14
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 $1,012.56 / $1,425.46 / $3,225.02	Professional		$1,012.56	$1,425.46	$3,225.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,126.80 / $1,662.65	Professional		$744.60	$1,126.80	$1,662.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.59 / $1,410.76 / $2,594.42	Professional		$1,083.59	$1,410.76	$2,594.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,656.56 / $10,900.80	Facility		$55.00	$10,656.56	$10,900.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,342.64 / $8,531.60 / $10,198.28	Professional		$8,342.64	$8,531.60	$10,198.28
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 $1,102.34 / $1,429.32 / $2,151.44	Facility		$1,102.34	$1,429.32	$2,151.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,031.84 / $1,515.84 / $3,151.42	Professional		$1,031.84	$1,515.84	$3,151.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,780.07 / $3,780.07 / $3,780.07	Professional		$3,780.07	$3,780.07	$3,780.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,159.64 / $1,417.34	Professional		$744.60	$1,159.64	$1,417.34
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 $937.13 / $1,261.44 / $2,841.90	Professional		$937.13	$1,261.44	$2,841.90