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 / $18,309.00	Facility		$1,992.00	$8,050.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.73 / $1,295.76 / $7,416.46	Professional		$1,130.73	$1,295.76	$7,416.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $10,474.00 / $21,865.69	Facility		$4,208.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.65 / $1,858.52 / $3,790.56	Professional		$1,456.65	$1,858.52	$3,790.56
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 $970.15 / $1,397.75 / $3,180.03	Professional		$970.15	$1,397.75	$3,180.03
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 $1,230.90 / $1,656.97 / $3,687.68	Professional		$1,230.90	$1,656.97	$3,687.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $959.20 / $1,621.98 / $2,027.48	Professional		$959.20	$1,621.98	$2,027.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.39 / $1,825.54 / $3,268.28	Professional		$1,314.39	$1,825.54	$3,268.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,869.28 / $13,118.80	Facility		$55.00	$12,869.28	$13,118.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,906.00 / $10,906.00 / $11,997.68	Professional		$10,906.00	$10,906.00	$11,997.68
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 $1,443.67 / $1,800.45 / $2,595.17	Facility		$1,443.67	$1,800.45	$2,595.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,273.11 / $1,759.56 / $3,671.72	Professional		$1,273.11	$1,759.56	$3,671.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,601.79 / $4,601.79 / $4,601.79	Professional		$4,601.79	$4,601.79	$4,601.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,246.96 / $1,472.84 / $1,800.14	Professional		$1,246.96	$1,472.84	$1,800.14
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 $1,060.02 / $1,424.49 / $3,094.99	Professional		$1,060.02	$1,424.49	$3,094.99