Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,902.00	Facility		$1,820.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.73 / $1,240.63 / $4,455.52	Professional		$991.73	$1,240.63	$4,455.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.83 / $1,616.14 / $3,169.65	Professional		$1,223.83	$1,616.14	$3,169.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $864.50 / $1,240.39 / $2,815.17	Professional		$864.50	$1,240.39	$2,815.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.64 / $1,436.49 / $3,004.98	Professional		$1,131.64	$1,436.49	$3,004.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $936.71 / $1,256.58 / $1,696.40	Professional		$936.71	$1,256.58	$1,696.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.27 / $1,433.01 / $2,576.55	Professional		$1,031.27	$1,433.01	$2,576.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,343.80 / $7,715.16 / $26,542.00	Facility		$6,343.80	$7,715.16	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,189.53 / $11,189.53 / $11,189.53	Professional		$11,189.53	$11,189.53	$11,189.53
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 $1,177.39 / $1,458.25 / $2,179.28	Facility		$1,177.39	$1,458.25	$2,179.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,143.13 / $1,491.47 / $3,004.98	Professional		$1,143.13	$1,491.47	$3,004.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,627.94 / $3,627.94 / $3,627.94	Professional		$3,627.94	$3,627.94	$3,627.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,013.33 / $1,393.33 / $1,771.89	Professional		$1,013.33	$1,393.33	$1,771.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,211.75 / $2,469.83	Professional		$897.27	$1,211.75	$2,469.83