Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,252.00	Facility		$1,992.00	$7,494.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.28 / $1,025.94 / $6,059.76	Professional		$883.28	$1,025.94	$6,059.76
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 $890.82 / $1,213.44 / $2,609.81	Professional		$890.82	$1,213.44	$2,609.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $715.98 / $1,047.51 / $2,492.08	Professional		$715.98	$1,047.51	$2,492.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.64 / $1,312.09 / $2,962.40	Professional		$1,001.64	$1,312.09	$2,962.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $832.09 / $1,348.32 / $1,617.98	Professional		$832.09	$1,348.32	$1,617.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.03 / $1,474.65 / $2,702.94	Professional		$1,073.03	$1,474.65	$2,702.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,526.19 / $11,500.00 / $26,542.00	Facility		$7,526.19	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,351.84 / $8,517.52 / $9,868.65	Professional		$8,351.84	$8,517.52	$9,868.65
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 $1,034.28 / $1,415.66 / $1,837.89	Facility		$1,034.28	$1,415.66	$1,837.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.36 / $1,348.49 / $2,938.16	Professional		$1,027.36	$1,348.49	$2,938.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,759.97 / $3,759.97 / $3,759.97	Professional		$3,759.97	$3,759.97	$3,759.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,049.33 / $1,364.13 / $1,783.87	Professional		$1,049.33	$1,364.13	$1,783.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.72 / $1,151.16 / $2,741.58	Professional		$863.72	$1,151.16	$2,741.58