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 $1,210.10 / $1,423.92 / $7,678.16	Professional		$1,210.10	$1,423.92	$7,678.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.00 / $1,837.80 / $3,660.42	Professional		$1,284.00	$1,837.80	$3,660.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $860.52 / $1,245.57 / $2,867.13	Professional		$860.52	$1,245.57	$2,867.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.82 / $1,720.77 / $3,900.39	Professional		$1,096.82	$1,720.77	$3,900.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $897.24 / $1,357.80 / $2,076.94	Professional		$897.24	$1,357.80	$2,076.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.76 / $1,882.70 / $3,377.51	Professional		$1,339.76	$1,882.70	$3,377.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,475.04 / $17,132.00	Facility		$2,000.00	$5,475.04	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,550.80 / $10,766.00 / $12,579.23	Professional		$10,550.80	$10,766.00	$12,579.23
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 $1,293.23 / $1,786.34 / $2,410.92	Facility		$1,293.23	$1,786.34	$2,410.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.69 / $1,807.48 / $3,868.03	Professional		$1,102.69	$1,807.48	$3,868.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,764.14 / $4,764.14 / $4,764.14	Professional		$4,764.14	$4,764.14	$4,764.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,166.42 / $1,508.14 / $1,843.28	Professional		$1,166.42	$1,508.14	$1,843.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.81 / $1,405.47 / $3,243.57	Professional		$995.81	$1,405.47	$3,243.57