Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.29 / $1,360.32 / $7,233.55	Professional		$1,121.29	$1,360.32	$7,233.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.79 / $1,944.76 / $3,853.77	Professional		$1,552.79	$1,944.76	$3,853.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,142.32 / $1,656.68 / $3,698.54	Professional		$1,142.32	$1,656.68	$3,698.54
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 $1,369.27 / $1,736.95 / $3,775.71	Professional		$1,369.27	$1,736.95	$3,775.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.07 / $1,628.08 / $2,296.56	Professional		$1,214.07	$1,628.08	$2,296.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.09 / $1,805.64 / $3,245.99	Professional		$1,307.09	$1,805.64	$3,245.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,136.47 / $19,913.50 / $26,542.00	Facility		$5,136.47	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,934.95 / $10,231.60 / $11,834.48	Professional		$9,934.95	$10,231.60	$11,834.48
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 $1,400.00 / $1,776.23 / $2,440.27	Facility		$1,400.00	$1,776.23	$2,440.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.78 / $1,837.00 / $3,725.32	Professional		$1,375.78	$1,837.00	$3,725.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,488.30 / $4,488.30 / $4,488.30	Professional		$4,488.30	$4,488.30	$4,488.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,314.32 / $1,807.19 / $2,296.56	Professional		$1,314.32	$1,807.19	$2,296.56
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 $1,069.47 / $1,420.55 / $2,998.55	Professional		$1,069.47	$1,420.55	$2,998.55