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 / $20,135.00	Facility		$1,992.00	$8,011.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,406.94 / $5,545.09	Professional		$1,269.08	$1,406.94	$5,545.09
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 $1,592.30 / $2,106.17 / $4,082.98	Professional		$1,592.30	$2,106.17	$4,082.98
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 $1,118.24 / $1,626.22 / $3,662.98	Professional		$1,118.24	$1,626.22	$3,662.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.59 / $1,816.90 / $4,021.72	Professional		$1,367.59	$1,816.90	$4,021.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,577.52 / $2,098.71	Professional		$1,042.44	$1,577.52	$2,098.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.79 / $1,866.57 / $3,458.30	Professional		$1,332.79	$1,866.57	$3,458.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,073.36 / $13,377.52	Facility		$55.00	$13,073.36	$13,377.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,789.51 / $15,789.51 / $15,789.51	Professional		$15,789.51	$15,789.51	$15,789.51
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 $1,487.36 / $1,866.57 / $2,846.98	Facility		$1,487.36	$1,866.57	$2,846.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.32 / $1,901.70 / $3,850.41	Professional		$1,407.32	$1,901.70	$3,850.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,683.22 / $4,683.22 / $4,683.22	Professional		$4,683.22	$4,683.22	$4,683.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,355.17 / $1,563.66 / $1,971.90	Professional		$1,355.17	$1,563.66	$1,971.90
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 $1,118.26 / $1,511.39 / $3,310.37	Professional		$1,118.26	$1,511.39	$3,310.37