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 $881.92 / $1,028.14 / $5,526.26	Professional		$881.92	$1,028.14	$5,526.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.86 / $1,554.29 / $2,988.39	Professional		$1,185.86	$1,554.29	$2,988.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,373.42	Facility		$66.00	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $837.51 / $1,200.85 / $2,706.84	Professional		$837.51	$1,200.85	$2,706.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $13,026.72 / $23,331.45	Facility		$2,813.00	$13,026.72	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.81 / $1,326.94 / $2,853.16	Professional		$987.81	$1,326.94	$2,853.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,222.05 / $1,649.77	Professional		$590.47	$1,222.05	$1,649.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.71 / $1,377.06 / $2,467.65	Professional		$978.71	$1,377.06	$2,467.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,951.64 / $26,542.00 / $37,623.85	Facility		$5,951.64	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,654.80 / $7,810.16 / $9,125.33	Professional		$7,654.80	$7,810.16	$9,125.33
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 $1,103.83 / $1,381.16 / $1,917.46	Facility		$1,103.83	$1,381.16	$1,917.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,002.49 / $1,386.76 / $2,823.99	Professional		$1,002.49	$1,386.76	$2,823.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,428.93 / $3,428.93 / $3,428.93	Professional		$3,428.93	$3,428.93	$3,428.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $767.61 / $1,062.83 / $1,355.97	Professional		$767.61	$1,062.83	$1,355.97
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 $824.58 / $1,093.13 / $2,386.50	Professional		$824.58	$1,093.13	$2,386.50