Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.52 / $7,000.00 / $18,252.00	Facility		$2,023.52	$7,000.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,570.16 / $2,013.97 / $8,101.09	Professional		$1,570.16	$2,013.97	$8,101.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.06 / $1,854.58 / $4,069.27	Professional		$837.06	$1,854.58	$4,069.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.27 / $1,463.59 / $3,485.58	Professional		$1,023.27	$1,463.59	$3,485.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $4,445.00	Facility		$1,646.28	$1,649.19	$4,445.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.85 / $2,543.71 / $5,812.00	Professional		$1,451.85	$2,543.71	$5,812.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.15 / $1,597.73 / $2,911.15	Professional		$1,065.15	$1,597.73	$2,911.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.72 / $2,332.73 / $4,564.21	Professional		$1,707.72	$2,332.73	$4,564.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,692.50 / $10,434.35	Facility		$55.00	$9,692.50	$10,434.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,257.96 / $13,034.08 / $14,362.05	Professional		$12,257.96	$13,034.08	$14,362.05
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 $1,794.09 / $2,351.94 / $3,376.98	Facility		$1,794.09	$2,351.94	$3,376.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,453.78 / $2,640.24 / $5,421.43	Professional		$1,453.78	$2,640.24	$5,421.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,947.97 / $6,947.97 / $6,947.97	Professional		$6,947.97	$6,947.97	$6,947.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,384.70 / $1,912.24 / $2,590.67	Professional		$1,384.70	$1,912.24	$2,590.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.81 / $1,907.73 / $4,873.72	Professional		$1,271.81	$1,907.73	$4,873.72