Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,011.00 / $18,252.00	Facility		$1,992.00	$8,011.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.59 / $1,573.32 / $9,373.11	Professional		$1,363.59	$1,573.32	$9,373.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,823.00 / $17,774.00	Facility		$3,388.00	$8,823.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.37 / $1,837.62 / $4,052.77	Professional		$1,371.37	$1,837.62	$4,052.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,730.92	Facility		$66.00	$100.00	$9,730.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,086.51 / $1,586.42 / $3,786.86	Professional		$1,086.51	$1,586.42	$3,786.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.01 / $1,994.20 / $4,723.16	Professional		$1,522.01	$1,994.20	$4,723.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.95 / $2,039.65 / $2,447.58	Professional		$1,247.95	$2,039.65	$2,447.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,634.48 / $2,254.21 / $4,116.38	Professional		$1,634.48	$2,254.21	$4,116.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,906.00 / $12,416.34 / $26,542.00	Facility		$9,906.00	$12,416.34	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,813.92 / $13,065.44 / $15,134.93	Professional		$12,813.92	$13,065.44	$15,134.93
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 $1,593.10 / $2,171.86 / $2,905.74	Facility		$1,593.10	$2,171.86	$2,905.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,537.97 / $2,052.17 / $4,508.33	Professional		$1,537.97	$2,052.17	$4,508.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,815.83 / $5,815.83 / $5,815.83	Professional		$5,815.83	$5,815.83	$5,815.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,573.76 / $2,045.89 / $2,675.40	Professional		$1,573.76	$2,045.89	$2,675.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,810.00 / $21,278.00	Facility		$5,679.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.40 / $1,753.38 / $3,960.65	Professional		$1,303.40	$1,753.38	$3,960.65