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 / $17,809.00	Facility		$1,820.00	$6,640.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.07 / $999.70 / $5,062.17	Professional		$866.07	$999.70	$5,062.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,165.97 / $1,481.01 / $2,749.25	Professional		$1,165.97	$1,481.01	$2,749.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,498.71	Facility		$66.00	$100.00	$9,498.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,276.45 / $2,752.76	Professional		$893.52	$1,276.45	$2,752.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,738.87 / $15,651.72	Facility		$2,277.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.35 / $1,349.27 / $2,667.32	Professional		$1,000.35	$1,349.27	$2,667.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,119.91 / $1,595.13	Professional		$843.26	$1,119.91	$1,595.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.28 / $1,261.50 / $2,260.26	Professional		$908.28	$1,261.50	$2,260.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,631.60 / $25,239.65 / $26,542.00	Facility		$3,631.60	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,513.81 / $7,761.76 / $8,350.73	Professional		$7,513.81	$7,761.76	$8,350.73
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 $1,027.39 / $1,343.89 / $1,835.60	Facility		$1,027.39	$1,343.89	$1,835.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,007.38 / $1,398.40 / $2,589.90	Professional		$1,007.38	$1,398.40	$2,589.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,140.99 / $3,140.99 / $3,140.99	Professional		$3,140.99	$3,140.99	$3,140.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $903.76 / $1,242.67 / $1,595.13	Professional		$903.76	$1,242.67	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.53 / $1,079.55 / $2,370.29	Professional		$780.53	$1,079.55	$2,370.29