Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.96 / $9,674.00 / $22,788.00	Facility		$1,087.96	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.91 / $1,087.96 / $3,927.11	Professional		$892.91	$1,087.96	$3,927.11
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 $1,050.53 / $1,376.90 / $2,753.03	Professional		$1,050.53	$1,376.90	$2,753.03
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 $727.22 / $1,050.58 / $2,469.77	Professional		$727.22	$1,050.58	$2,469.77
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 $948.57 / $1,338.17 / $2,995.81	Professional		$948.57	$1,338.17	$2,995.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $686.89 / $1,039.48 / $1,538.99	Professional		$686.89	$1,039.48	$1,538.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,005.71 / $1,309.45 / $2,413.55	Professional		$1,005.71	$1,309.45	$2,413.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,915.04 / $10,149.60	Facility		$55.00	$9,915.04	$10,149.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,763.76 / $7,944.48 / $9,491.78	Professional		$7,763.76	$7,944.48	$9,491.78
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 $1,047.56 / $1,352.53 / $2,064.36	Facility		$1,047.56	$1,352.53	$2,064.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.09 / $1,413.01 / $2,921.85	Professional		$966.09	$1,413.01	$2,921.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,504.15 / $3,504.15 / $3,504.15	Professional		$3,504.15	$3,504.15	$3,504.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $686.89 / $1,073.30 / $1,311.82	Professional		$686.89	$1,073.30	$1,311.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $5,978.00 / $18,709.00	Facility		$1,720.00	$5,978.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.59 / $1,180.68 / $2,624.45	Professional		$879.59	$1,180.68	$2,624.45