Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.53 / $9,639.00 / $20,509.00	Facility		$859.53	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.04 / $1,057.89 / $5,464.90	Professional		$749.04	$1,057.89	$5,464.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,856.95 / $23,548.00	Facility		$4,314.00	$10,856.95	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.95 / $1,370.13 / $2,683.68	Professional		$1,064.95	$1,370.13	$2,683.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $628.66 / $900.69 / $2,105.84	Professional		$628.66	$900.69	$2,105.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.78 / $1,225.27 / $2,784.60	Professional		$790.78	$1,225.27	$2,784.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,126.80 / $1,489.21	Professional		$744.60	$1,126.80	$1,489.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.98 / $1,376.29 / $2,477.91	Professional		$997.98	$1,376.29	$2,477.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,800.80 / $20,253.43	Facility		$55.00	$19,800.80	$20,253.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,251.14 / $9,251.14 / $9,846.23	Professional		$9,251.14	$9,251.14	$9,846.23
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 $991.53 / $1,312.10 / $1,840.00	Facility		$991.53	$1,312.10	$1,840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.88 / $1,290.00 / $2,822.26	Professional		$817.88	$1,290.00	$2,822.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,390.87 / $3,390.87 / $3,390.87	Professional		$3,390.87	$3,390.87	$3,390.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $959.04 / $1,116.90 / $1,408.50	Professional		$959.04	$1,116.90	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,067.00 / $18,493.00	Facility		$2,009.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.69 / $1,002.24 / $2,329.98	Professional		$745.69	$1,002.24	$2,329.98