Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.10 / $1,172.93 / $6,284.41	Professional		$988.10	$1,172.93	$6,284.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.04 / $1,708.68 / $3,322.56	Professional		$1,324.04	$1,708.68	$3,322.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,919.07	Facility		$66.00	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $855.02 / $1,230.84 / $2,795.17	Professional		$855.02	$1,230.84	$2,795.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.99 / $1,498.41 / $3,230.21	Professional		$1,150.99	$1,498.41	$3,230.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $931.87 / $1,397.81 / $1,758.14	Professional		$931.87	$1,397.81	$1,758.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.58 / $1,588.30 / $2,847.37	Professional		$1,143.58	$1,588.30	$2,847.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,592.60 / $6,147.74 / $26,542.00	Facility		$4,592.60	$6,147.74	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,857.12 / $9,036.40 / $10,557.90	Professional		$8,857.12	$9,036.40	$10,557.90
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 $1,143.58 / $1,529.71 / $2,081.08	Facility		$1,143.58	$1,529.71	$2,081.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.99 / $1,565.29 / $3,167.36	Professional		$1,150.99	$1,565.29	$3,167.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,899.36 / $3,899.36 / $3,899.36	Professional		$3,899.36	$3,899.36	$3,899.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,134.93 / $1,276.79 / $1,584.17	Professional		$1,134.93	$1,276.79	$1,584.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.80 / $1,251.73 / $2,655.04	Professional		$938.80	$1,251.73	$2,655.04