Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.22 / $9,674.00 / $22,788.00	Facility		$1,125.22	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.03 / $1,125.22 / $5,845.77	Professional		$958.03	$1,125.22	$5,845.77
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 $1,090.39 / $1,429.15 / $2,868.88	Professional		$1,090.39	$1,429.15	$2,868.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $836.23 / $1,238.88 / $2,871.44	Professional		$836.23	$1,238.88	$2,871.44
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 $1,046.48 / $1,411.25 / $3,086.79	Professional		$1,046.48	$1,411.25	$3,086.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $901.71 / $1,219.05 / $1,645.72	Professional		$901.71	$1,219.05	$1,645.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.71 / $1,351.50 / $2,493.23	Professional		$1,037.71	$1,351.50	$2,493.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,248.08 / $10,474.87	Facility		$55.00	$10,248.08	$10,474.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,023.36 / $8,199.28 / $9,819.08	Professional		$8,023.36	$8,199.28	$9,819.08
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 $1,078.76 / $1,383.61 / $2,153.34	Facility		$1,078.76	$1,383.61	$2,153.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,503.79 / $3,016.23	Professional		$1,072.81	$1,503.79	$3,016.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,627.20 / $3,627.20 / $3,627.20	Professional		$3,627.20	$3,627.20	$3,627.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $901.71 / $1,262.39 / $1,623.08	Professional		$901.71	$1,262.39	$1,623.08
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 $906.64 / $1,224.71 / $2,722.64	Professional		$906.64	$1,224.71	$2,722.64