Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.46 / $1,061.67 / $5,683.33	Professional		$906.46	$1,061.67	$5,683.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $9,110.00 / $17,774.00	Facility		$2,675.00	$9,110.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.36 / $1,571.88 / $3,084.70	Professional		$1,235.36	$1,571.88	$3,084.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $869.10 / $1,246.22 / $2,787.41	Professional		$869.10	$1,246.22	$2,787.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $17,632.62 / $31,580.81	Facility		$3,203.00	$17,632.62	$31,580.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.63 / $1,347.06 / $2,943.48	Professional		$1,037.63	$1,347.06	$2,943.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $879.74 / $1,250.47 / $1,688.13	Professional		$879.74	$1,250.47	$1,688.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.92 / $1,411.00 / $2,529.05	Professional		$1,015.92	$1,411.00	$2,529.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,092.75 / $26,542.00 / $50,926.60	Facility		$5,092.75	$26,542.00	$50,926.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,976.49 / $8,025.36 / $9,366.15	Professional		$7,976.49	$8,025.36	$9,366.15
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 $1,132.32 / $1,425.50 / $2,112.00	Facility		$1,132.32	$1,425.50	$2,112.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.20 / $1,407.44 / $2,904.85	Professional		$1,082.20	$1,407.44	$2,904.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,526.40 / $3,526.40 / $3,526.40	Professional		$3,526.40	$3,526.40	$3,526.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,319.62 / $1,664.14	Professional		$1,009.05	$1,319.62	$1,664.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.62 / $1,131.49 / $2,403.63	Professional		$848.62	$1,131.49	$2,403.63