Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.06 / $9,674.00 / $22,788.00	Facility		$1,283.06	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.36 / $1,289.13 / $6,754.32	Professional		$1,094.36	$1,289.13	$6,754.32
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 $1,256.67 / $1,642.49 / $3,280.62	Professional		$1,256.67	$1,642.49	$3,280.62
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 $892.35 / $1,310.13 / $3,075.08	Professional		$892.35	$1,310.13	$3,075.08
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 $1,141.95 / $1,604.02 / $3,545.72	Professional		$1,141.95	$1,604.02	$3,545.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,816.44	Professional		$801.19	$1,212.43	$1,816.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.48 / $1,550.68 / $2,860.22	Professional		$1,190.48	$1,550.68	$2,860.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,765.76 / $12,039.04	Facility		$55.00	$11,765.76	$12,039.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,211.20 / $9,422.95 / $11,277.23	Professional		$9,211.20	$9,422.95	$11,277.23
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 $1,240.54 / $1,612.70 / $2,449.21	Facility		$1,240.54	$1,612.70	$2,449.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,165.94 / $1,683.03 / $3,495.71	Professional		$1,165.94	$1,683.03	$3,495.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,190.92 / $4,190.92 / $4,190.92	Professional		$4,190.92	$4,190.92	$4,190.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,266.63 / $1,548.11	Professional		$801.19	$1,266.63	$1,548.11
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 $1,055.59 / $1,414.89 / $3,150.44	Professional		$1,055.59	$1,414.89	$3,150.44