Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.87 / $1,032.67 / $5,540.35	Professional		$883.87	$1,032.67	$5,540.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $23,548.00	Facility		$3,537.00	$9,830.00	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.08 / $1,512.65 / $3,007.69	Professional		$1,191.08	$1,512.65	$3,007.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $834.62 / $1,194.74 / $2,720.28	Professional		$834.62	$1,194.74	$2,720.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $19,171.30 / $34,336.65	Facility		$3,203.00	$19,171.30	$34,336.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.49 / $1,328.49 / $2,847.27	Professional		$1,059.49	$1,328.49	$2,847.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.98 / $1,343.08 / $13,686.95	Professional		$1,220.98	$1,343.08	$13,686.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.93 / $1,377.33 / $2,468.69	Professional		$992.93	$1,377.33	$2,468.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,969.85 / $26,542.00 / $55,370.65	Facility		$4,969.85	$26,542.00	$55,370.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,667.68 / $7,823.44 / $9,143.10	Professional		$7,667.68	$7,823.44	$9,143.10
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 $1,105.30 / $1,381.63 / $2,099.46	Facility		$1,105.30	$1,381.63	$2,099.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.07 / $1,381.33 / $2,810.46	Professional		$1,061.07	$1,381.33	$2,810.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,437.68 / $3,437.68 / $3,437.68	Professional		$3,437.68	$3,437.68	$3,437.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $985.26 / $1,108.41 / $1,354.73	Professional		$985.26	$1,108.41	$1,354.73
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,434.00 / $26,451.00	Facility		$6,142.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.29 / $1,101.07 / $2,343.63	Professional		$827.29	$1,101.07	$2,343.63