Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,404.69 / $8,011.00 / $18,252.00	Facility		$2,404.69	$8,011.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,057.82 / $2,404.69 / $14,239.90	Professional		$2,057.82	$2,404.69	$14,239.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,484.00 / $16,838.00	Facility		$3,388.00	$8,484.00	$16,838.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,094.03 / $2,884.98 / $6,239.74	Professional		$2,094.03	$2,884.98	$6,239.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,741.10 / $2,548.86 / $6,077.35	Professional		$1,741.10	$2,548.86	$6,077.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $3,053.84 / $7,167.53	Professional		$2,382.41	$3,053.84	$7,167.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $3,054.58 / $3,665.50	Professional		$1,265.08	$3,054.58	$3,665.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,459.04 / $3,389.51 / $6,192.38	Professional		$2,459.04	$3,389.51	$6,192.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $9,770.70 / $18,769.91	Facility		$2,000.00	$9,770.70	$18,769.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,368.56 / $19,758.32 / $22,876.73	Professional		$19,368.56	$19,758.32	$22,876.73
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 $2,371.80 / $3,222.71 / $4,222.42	Facility		$2,371.80	$3,222.71	$4,222.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,423.54 / $3,176.43 / $6,819.61	Professional		$2,423.54	$3,176.43	$6,819.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,835.58 / $8,835.58 / $8,835.58	Professional		$8,835.58	$8,835.58	$8,835.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,595.36 / $2,393.04 / $3,389.51	Professional		$1,595.36	$2,393.04	$3,389.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,336.00 / $4,099.00 / $9,476.00	Facility		$2,336.00	$4,099.00	$9,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,044.71 / $2,653.55 / $6,010.41	Professional		$2,044.71	$2,653.55	$6,010.41