Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.62 / $985.10 / $5,300.26	Professional		$855.62	$985.10	$5,300.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.85 / $1,519.44 / $2,877.95	Professional		$1,203.85	$1,519.44	$2,877.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $921.18 / $1,315.97 / $2,878.71	Professional		$921.18	$1,315.97	$2,878.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.64 / $1,380.18 / $2,804.59	Professional		$1,037.64	$1,380.18	$2,804.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $649.29 / $1,169.36 / $1,578.65	Professional		$649.29	$1,169.36	$1,578.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.23 / $1,306.11 / $2,363.11	Professional		$937.23	$1,306.11	$2,363.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,803.48 / $19,913.50 / $26,542.00	Facility		$3,803.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,335.68 / $7,482.80 / $8,747.33	Professional		$7,335.68	$7,482.80	$8,747.33
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 $1,074.14 / $1,351.50 / $1,874.86	Facility		$1,074.14	$1,351.50	$1,874.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.17 / $1,437.69 / $2,715.32	Professional		$1,056.17	$1,437.69	$2,715.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,288.73 / $3,288.73 / $3,288.73	Professional		$3,288.73	$3,288.73	$3,288.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $844.08 / $1,061.58 / $1,297.48	Professional		$844.08	$1,061.58	$1,297.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.38 / $1,087.20 / $2,257.42	Professional		$791.38	$1,087.20	$2,257.42