Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.47 / $1,127.33 / $4,573.00	Professional		$941.47	$1,127.33	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.21 / $1,626.83 / $3,089.75	Professional		$1,241.21	$1,626.83	$3,089.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,565.69	Facility		$66.00	$100.00	$12,565.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $890.07 / $1,275.81 / $2,833.22	Professional		$890.07	$1,275.81	$2,833.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,738.29 / $15,650.66	Facility		$3,203.00	$8,738.29	$15,650.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,370.30 / $2,948.64	Professional		$1,090.66	$1,370.30	$2,948.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,252.73 / $1,691.19	Professional		$843.26	$1,252.73	$1,691.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.85 / $1,413.68 / $2,568.48	Professional		$1,017.85	$1,413.68	$2,568.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,124.50 / $25,237.95 / $26,542.00	Facility		$6,124.50	$25,237.95	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,875.20 / $8,038.24 / $9,387.60	Professional		$7,875.20	$8,038.24	$9,387.60
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 $1,136.51 / $1,438.59 / $2,038.50	Facility		$1,136.51	$1,438.59	$2,038.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.35 / $1,450.01 / $2,910.24	Professional		$1,092.35	$1,450.01	$2,910.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,532.26 / $3,532.26 / $3,532.26	Professional		$3,532.26	$3,532.26	$3,532.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,010.86 / $1,264.89 / $1,595.13	Professional		$1,010.86	$1,264.89	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.08 / $1,136.09 / $2,458.41	Professional		$852.08	$1,136.09	$2,458.41