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 $968.86 / $1,157.13 / $5,898.26	Professional		$968.86	$1,157.13	$5,898.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.63 / $1,692.62 / $3,277.09	Professional		$1,340.63	$1,692.62	$3,277.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,107.79 / $1,589.37 / $3,404.78	Professional		$1,107.79	$1,589.37	$3,404.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,822.75 / $15,801.94	Facility		$2,813.00	$8,822.75	$15,801.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.31 / $1,560.51 / $3,138.59	Professional		$1,163.31	$1,560.51	$3,138.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.80 / $1,293.01 / $1,745.56	Professional		$733.80	$1,293.01	$1,745.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.69 / $1,460.65 / $2,618.79	Professional		$1,038.69	$1,460.65	$2,618.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,226.47 / $25,481.90 / $26,542.00	Facility		$4,226.47	$25,481.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,633.91 / $8,918.83 / $9,716.62	Professional		$8,633.91	$8,918.83	$9,716.62
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 $1,190.35 / $1,536.02 / $2,086.64	Facility		$1,190.35	$1,536.02	$2,086.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,177.10 / $1,614.74 / $3,013.57	Professional		$1,177.10	$1,614.74	$3,013.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,659.76 / $3,659.76 / $3,659.76	Professional		$3,659.76	$3,659.76	$3,659.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $953.94 / $1,173.74 / $1,434.57	Professional		$953.94	$1,173.74	$1,434.57
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.51 / $1,211.40 / $2,547.13	Professional		$883.51	$1,211.40	$2,547.13