Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.85 / $9,674.00 / $22,788.00	Facility		$1,276.85	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.44 / $1,276.85 / $6,612.94	Professional		$1,071.44	$1,276.85	$6,612.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $9,590.00 / $20,146.00	Facility		$1,900.00	$9,590.00	$20,146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.30 / $1,522.50 / $3,146.55	Professional		$1,190.30	$1,522.50	$3,146.55
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 $773.48 / $1,121.40 / $2,703.90	Professional		$773.48	$1,121.40	$2,703.90
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 $1,089.34 / $1,549.35 / $3,435.12	Professional		$1,089.34	$1,549.35	$3,435.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.96 / $1,434.54 / $1,864.90	Professional		$521.96	$1,434.54	$1,864.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.64 / $1,569.84 / $2,868.58	Professional		$1,203.64	$1,569.84	$2,868.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,200.75 / $13,461.21	Facility		$55.00	$13,200.75	$13,461.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,184.71 / $9,363.76 / $11,201.03	Professional		$9,184.71	$9,363.76	$11,201.03
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 $1,104.61 / $1,557.91 / $2,359.64	Facility		$1,104.61	$1,557.91	$2,359.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.54 / $1,642.96 / $3,435.12	Professional		$1,098.54	$1,642.96	$3,435.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,103.20 / $4,103.20 / $4,103.20	Professional		$4,103.20	$4,103.20	$4,103.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.96 / $1,156.58 / $1,590.30	Professional		$521.96	$1,156.58	$1,590.30
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 $992.79 / $1,370.60 / $3,094.41	Professional		$992.79	$1,370.60	$3,094.41