Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.15 / $9,674.00 / $22,788.00	Facility		$1,090.15	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.58 / $1,090.15 / $5,689.50	Professional		$918.58	$1,090.15	$5,689.50
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 $1,037.10 / $1,314.21 / $2,704.78	Professional		$1,037.10	$1,314.21	$2,704.78
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 $706.34 / $1,024.08 / $2,430.69	Professional		$706.34	$1,024.08	$2,430.69
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 $940.79 / $1,332.17 / $3,012.81	Professional		$940.79	$1,332.17	$3,012.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $962.29 / $1,558.99	Professional		$635.89	$962.29	$1,558.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.80 / $1,318.27 / $2,418.98	Professional		$1,011.80	$1,318.27	$2,418.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,913.12 / $10,146.64	Facility		$55.00	$9,913.12	$10,146.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,759.68 / $7,941.36 / $9,477.83	Professional		$7,759.68	$7,941.36	$9,477.83
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 $1,029.47 / $1,344.60 / $2,037.97	Facility		$1,029.47	$1,344.60	$2,037.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.28 / $1,417.27 / $2,950.50	Professional		$949.28	$1,417.27	$2,950.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,530.24 / $3,530.24 / $3,530.24	Professional		$3,530.24	$3,530.24	$3,530.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $1,081.01 / $1,329.16	Professional		$635.89	$1,081.01	$1,329.16
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 $866.42 / $1,169.26 / $2,636.66	Professional		$866.42	$1,169.26	$2,636.66