Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,030.00	Facility		$1,919.00	$6,342.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.54 / $1,198.70 / $6,031.93	Professional		$966.54	$1,198.70	$6,031.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.99 / $1,528.65 / $3,077.58	Professional		$1,144.99	$1,528.65	$3,077.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $790.18 / $1,132.36 / $2,577.55	Professional		$790.18	$1,132.36	$2,577.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.68 / $1,424.43 / $3,072.80	Professional		$1,069.68	$1,424.43	$3,072.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.39 / $1,326.03 / $1,790.14	Professional		$446.39	$1,326.03	$1,790.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.32 / $1,530.06 / $2,744.81	Professional		$1,105.32	$1,530.06	$2,744.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,063.09 / $9,587.41 / $16,394.00	Facility		$8,063.09	$9,587.41	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,430.79 / $8,612.71 / $10,879.28	Professional		$8,430.79	$8,612.71	$10,879.28
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 $1,103.06 / $1,473.76 / $2,112.33	Facility		$1,103.06	$1,473.76	$2,112.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,069.68 / $1,454.62 / $3,072.80	Professional		$1,069.68	$1,454.62	$3,072.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,742.70 / $3,742.70 / $3,742.70	Professional		$3,742.70	$3,742.70	$3,742.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $580.29 / $956.98 / $1,467.94	Professional		$580.29	$956.98	$1,467.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $1,207.50 / $2,532.44	Professional		$925.53	$1,207.50	$2,532.44