Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $999.91 / $5,365.10	Professional		$855.93	$999.91	$5,365.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,162.42 / $1,539.23 / $2,913.22	Professional		$1,162.42	$1,539.23	$2,913.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,977.49	Facility		$66.00	$100.00	$10,977.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.95 / $1,166.49 / $2,636.19	Professional		$812.95	$1,166.49	$2,636.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.96 / $1,288.24 / $2,768.36	Professional		$1,026.96	$1,288.24	$2,768.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,184.43 / $1,598.98	Professional		$843.26	$1,184.43	$1,598.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.28 / $1,335.11 / $2,392.57	Professional		$961.28	$1,335.11	$2,392.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,772.84 / $19,913.50 / $26,542.00	Facility		$5,772.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,425.84 / $7,580.80 / $8,849.54	Professional		$7,425.84	$7,580.80	$8,849.54
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 $1,072.04 / $1,349.66 / $1,938.00	Facility		$1,072.04	$1,349.66	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.38 / $1,386.69 / $2,740.43	Professional		$1,027.38	$1,386.69	$2,740.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,328.94 / $3,328.94 / $3,328.94	Professional		$3,328.94	$3,328.94	$3,328.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,264.89 / $1,595.13	Professional		$955.80	$1,264.89	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.34 / $1,067.77 / $2,245.40	Professional		$813.34	$1,067.77	$2,245.40