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 $934.67 / $1,090.85 / $5,866.09	Professional		$934.67	$1,090.85	$5,866.09
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 $1,269.93 / $1,626.85 / $3,183.19	Professional		$1,269.93	$1,626.85	$3,183.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,067.47 / $1,547.46 / $3,315.54	Professional		$1,067.47	$1,547.46	$3,315.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $4,091.54 / $7,328.14	Facility		$2,813.00	$4,091.54	$7,328.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.23 / $1,505.16 / $3,056.46	Professional		$1,125.23	$1,505.16	$3,056.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.80 / $1,285.95 / $1,736.03	Professional		$733.80	$1,285.95	$1,736.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,032.88 / $1,452.50 / $2,604.05	Professional		$1,032.88	$1,452.50	$2,604.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,201.72 / $11,817.20 / $26,542.00	Facility		$4,201.72	$11,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,198.03 / $8,271.92 / $9,659.18	Professional		$8,198.03	$8,271.92	$9,659.18
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 $1,183.66 / $1,538.76 / $2,075.26	Facility		$1,183.66	$1,538.76	$2,075.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,143.83 / $1,562.82 / $2,996.63	Professional		$1,143.83	$1,562.82	$2,996.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,639.79 / $3,639.79 / $3,639.79	Professional		$3,639.79	$3,639.79	$3,639.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $953.94 / $1,167.33 / $1,426.74	Professional		$953.94	$1,167.33	$1,426.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.54 / $1,184.76 / $2,480.38	Professional		$889.54	$1,184.76	$2,480.38