Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,030.00	Facility		$1,919.00	$6,342.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.01 / $1,558.89 / $8,629.99	Professional		$1,346.01	$1,558.89	$8,629.99
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 $1,730.03 / $2,192.64 / $4,359.67	Professional		$1,730.03	$2,192.64	$4,359.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,257.85 / $1,827.13 / $4,118.67	Professional		$1,257.85	$1,827.13	$4,118.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.27 / $2,049.16 / $4,451.29	Professional		$1,562.27	$2,049.16	$4,451.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.45 / $1,914.74 / $2,393.42	Professional		$1,230.45	$1,914.74	$2,393.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.42 / $2,118.00 / $3,838.71	Professional		$1,522.42	$2,118.00	$3,838.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,116.80 / $8,957.00 / $16,394.00	Facility		$6,116.80	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,065.64 / $12,159.92 / $14,079.98	Professional		$12,065.64	$12,159.92	$14,079.98
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 $1,727.95 / $2,115.17 / $2,901.89	Facility		$1,727.95	$2,115.17	$2,901.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,600.40 / $2,153.73 / $4,383.64	Professional		$1,600.40	$2,153.73	$4,383.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,354.76 / $5,354.76 / $5,354.76	Professional		$5,354.76	$5,354.76	$5,354.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,545.49 / $1,845.68 / $2,327.55	Professional		$1,545.49	$1,845.68	$2,327.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.94 / $1,666.24 / $3,660.16	Professional		$1,265.94	$1,666.24	$3,660.16