Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,833.00 / $22,788.00	Facility		$2,645.00	$9,833.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,043.17 / $3,669.97	Professional		$924.27	$1,043.17	$3,669.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.55 / $1,597.13 / $3,028.58	Professional		$1,218.55	$1,597.13	$3,028.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $1,241.46 / $2,757.87	Professional		$866.40	$1,241.46	$2,757.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,894.76 / $12,348.83	Facility		$4,445.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.91 / $1,341.93 / $2,877.07	Professional		$1,063.91	$1,341.93	$2,877.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,221.69 / $1,649.28	Professional		$843.26	$1,221.69	$1,649.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.90 / $1,380.41 / $2,549.42	Professional		$993.90	$1,380.41	$2,549.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,992.80 / $19,913.50 / $26,542.00	Facility		$5,992.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,704.80 / $7,864.16 / $9,182.85	Professional		$7,704.80	$7,864.16	$9,182.85
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 $1,111.44 / $1,406.23 / $1,954.70	Facility		$1,111.44	$1,406.23	$1,954.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,073.55 / $1,418.55 / $2,847.35	Professional		$1,073.55	$1,418.55	$2,847.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,463.60 / $3,463.60 / $3,463.60	Professional		$3,463.60	$3,463.60	$3,463.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $985.78 / $1,264.89 / $1,595.13	Professional		$985.78	$1,264.89	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.28 / $1,128.88 / $2,580.79	Professional		$854.28	$1,128.88	$2,580.79