Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.19 / $1,092.85 / $5,811.31	Professional		$941.19	$1,092.85	$5,811.31
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 $1,268.75 / $1,662.93 / $3,155.16	Professional		$1,268.75	$1,662.93	$3,155.16
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 $850.51 / $1,220.23 / $2,773.76	Professional		$850.51	$1,220.23	$2,773.76
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 $1,108.21 / $1,395.35 / $3,031.51	Professional		$1,108.21	$1,395.35	$3,031.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.07 / $1,297.55 / $1,751.69	Professional		$870.07	$1,297.55	$1,751.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,459.88 / $2,693.40	Professional		$1,051.10	$1,459.88	$2,693.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,287.88 / $19,913.50 / $26,542.00	Facility		$6,287.88	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,747.54 / $8,747.54 / $9,634.79	Professional		$8,747.54	$8,747.54	$9,634.79
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 $1,171.36 / $1,463.73 / $2,080.13	Facility		$1,171.36	$1,463.73	$2,080.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.44 / $1,447.46 / $2,987.51	Professional		$1,111.44	$1,447.46	$2,987.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,605.79 / $3,605.79 / $3,605.79	Professional		$3,605.79	$3,605.79	$3,605.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.19 / $1,305.09 / $1,645.83	Professional		$1,047.19	$1,305.09	$1,645.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,451.00	Facility		$6,087.45	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.86 / $1,154.64 / $2,458.53	Professional		$868.86	$1,154.64	$2,458.53