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 $929.37 / $1,100.95 / $6,180.88	Professional		$929.37	$1,100.95	$6,180.88
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 $1,276.31 / $1,639.85 / $3,216.29	Professional		$1,276.31	$1,639.85	$3,216.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $909.98 / $1,308.56 / $2,974.85	Professional		$909.98	$1,308.56	$2,974.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.86 / $1,439.66 / $3,073.66	Professional		$1,057.86	$1,439.66	$3,073.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,351.45 / $1,824.46	Professional		$716.68	$1,351.45	$1,824.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,070.77 / $1,496.20 / $2,678.59	Professional		$1,070.77	$1,496.20	$2,678.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,276.78 / $9,150.82 / $26,542.00	Facility		$7,276.78	$9,150.82	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,573.52 / $8,619.12 / $9,334.12	Professional		$8,573.52	$8,619.12	$9,334.12
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 $1,201.76 / $1,508.54 / $2,047.17	Facility		$1,201.76	$1,508.54	$2,047.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,076.94 / $1,532.34 / $3,042.50	Professional		$1,076.94	$1,532.34	$3,042.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,835.13 / $3,835.13 / $3,835.13	Professional		$3,835.13	$3,835.13	$3,835.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $931.68 / $1,229.08 / $1,502.23	Professional		$931.68	$1,229.08	$1,502.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.54 / $1,174.66 / $2,544.83	Professional		$891.54	$1,174.66	$2,544.83