Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,050.00 / $18,483.00	Facility		$1,992.00	$8,050.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.39 / $1,386.66 / $7,634.54	Professional		$1,198.39	$1,386.66	$7,634.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,624.58 / $2,046.58 / $4,016.79	Professional		$1,624.58	$2,046.58	$4,016.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,296.75	Facility		$64.40	$100.00	$7,296.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,081.49 / $1,559.60 / $3,535.56	Professional		$1,081.49	$1,559.60	$3,535.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.70 / $1,798.04 / $3,954.03	Professional		$1,382.70	$1,798.04	$3,954.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,659.71 / $2,240.61	Professional		$1,116.90	$1,659.71	$2,240.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.05 / $1,856.08 / $3,318.92	Professional		$1,339.05	$1,856.08	$3,318.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,846.38 / $16,547.20	Facility		$55.00	$7,846.38	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,154.97 / $17,154.97 / $17,154.97	Professional		$17,154.97	$17,154.97	$17,154.97
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 $1,484.01 / $1,843.75 / $2,806.21	Facility		$1,484.01	$1,843.75	$2,806.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,397.21 / $1,845.82 / $3,829.13	Professional		$1,397.21	$1,845.82	$3,829.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,737.10 / $4,737.10 / $4,737.10	Professional		$4,737.10	$4,737.10	$4,737.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,340.86 / $1,675.35 / $2,112.75	Professional		$1,340.86	$1,675.35	$2,112.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.49 / $1,465.62 / $3,232.28	Professional		$1,113.49	$1,465.62	$3,232.28