Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.67 / $9,674.00 / $22,788.00	Facility		$1,238.67	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.59 / $1,246.49 / $4,919.97	Professional		$1,050.59	$1,246.49	$4,919.97
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 $1,189.51 / $1,501.33 / $3,116.90	Professional		$1,189.51	$1,501.33	$3,116.90
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 $812.71 / $1,174.41 / $2,764.23	Professional		$812.71	$1,174.41	$2,764.23
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 $1,084.26 / $1,517.13 / $3,511.22	Professional		$1,084.26	$1,517.13	$3,511.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $1,285.11 / $1,757.16	Professional		$849.22	$1,285.11	$1,757.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.29 / $1,491.98 / $2,748.26	Professional		$1,146.29	$1,491.98	$2,748.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,283.44 / $11,547.68	Facility		$55.00	$11,283.44	$11,547.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,834.87 / $9,038.24 / $10,797.30	Professional		$8,834.87	$9,038.24	$10,797.30
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 $1,193.58 / $1,533.29 / $2,267.46	Facility		$1,193.58	$1,533.29	$2,267.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,089.30 / $1,605.85 / $3,340.84	Professional		$1,089.30	$1,605.85	$3,340.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,006.37 / $4,006.37 / $4,006.37	Professional		$4,006.37	$4,006.37	$4,006.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $1,235.82 / $1,528.59	Professional		$849.22	$1,235.82	$1,528.59
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 $984.43 / $1,349.03 / $3,172.03	Professional		$984.43	$1,349.03	$3,172.03