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 / $17,538.00	Facility		$1,820.00	$6,880.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.16 / $1,318.45 / $6,902.68	Professional		$1,107.16	$1,318.45	$6,902.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.03 / $1,763.56 / $3,427.57	Professional		$1,338.03	$1,763.56	$3,427.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $770.85 / $1,101.29 / $2,507.19	Professional		$770.85	$1,101.29	$2,507.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.59 / $1,575.26 / $3,495.85	Professional		$1,050.59	$1,575.26	$3,495.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $837.30 / $1,614.43 / $2,018.04	Professional		$837.30	$1,614.43	$2,018.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.61 / $1,829.15 / $3,281.39	Professional		$1,301.61	$1,829.15	$3,281.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,626.59 / $17,893.91 / $26,542.00	Facility		$14,626.59	$17,893.91	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,054.14 / $11,054.14 / $12,220.65	Professional		$11,054.14	$11,054.14	$12,220.65
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 $1,226.33 / $1,733.23 / $2,461.04	Facility		$1,226.33	$1,733.23	$2,461.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,065.05 / $1,643.75 / $3,527.92	Professional		$1,065.05	$1,643.75	$3,527.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,282.97 / $4,282.97 / $4,282.97	Professional		$4,282.97	$4,282.97	$4,282.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,088.49 / $1,465.36 / $1,791.00	Professional		$1,088.49	$1,465.36	$1,791.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.17 / $1,347.49 / $2,911.58	Professional		$977.17	$1,347.49	$2,911.58