Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.73 / $9,674.00 / $22,788.00	Facility		$1,148.73	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.74 / $1,148.73 / $5,964.35	Professional		$968.74	$1,148.73	$5,964.35
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 $1,092.29 / $1,378.62 / $2,851.31	Professional		$1,092.29	$1,378.62	$2,851.31
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 $737.18 / $1,067.54 / $2,542.91	Professional		$737.18	$1,067.54	$2,542.91
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 $981.97 / $1,396.20 / $3,091.12	Professional		$981.97	$1,396.20	$3,091.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $925.10 / $1,629.33	Professional		$611.32	$925.10	$1,629.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.56 / $1,378.66 / $2,532.21	Professional		$1,058.56	$1,378.66	$2,532.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,381.28 / $10,630.72	Facility		$55.00	$10,381.28	$10,630.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,126.72 / $8,320.40 / $9,926.70	Professional		$8,126.72	$8,320.40	$9,926.70
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 $1,085.38 / $1,404.31 / $2,005.33	Facility		$1,085.38	$1,404.31	$2,005.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.77 / $1,484.85 / $3,091.12	Professional		$998.77	$1,484.85	$3,091.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,700.78 / $3,700.78 / $3,700.78	Professional		$3,700.78	$3,700.78	$3,700.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $1,039.24 / $1,389.09	Professional		$611.32	$1,039.24	$1,389.09
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 $906.66 / $1,224.72 / $2,763.28	Professional		$906.66	$1,224.72	$2,763.28