Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.30 / $1,009.60 / $5,409.72	Professional		$863.30	$1,009.60	$5,409.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.00 / $11,276.00 / $22,145.00	Facility		$2,684.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.27 / $1,471.64 / $2,903.36	Professional		$1,112.27	$1,471.64	$2,903.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $800.01 / $1,152.58 / $2,615.34	Professional		$800.01	$1,152.58	$2,615.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,790.01 / $17,534.34	Facility		$3,203.00	$9,790.01	$17,534.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.71 / $1,298.96 / $2,790.46	Professional		$1,030.71	$1,298.96	$2,790.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $938.20 / $1,197.84 / $1,774.71	Professional		$938.20	$1,197.84	$1,774.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.39 / $1,349.15 / $2,417.32	Professional		$971.39	$1,349.15	$2,417.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,796.51 / $26,542.00 / $28,275.55	Facility		$6,796.51	$26,542.00	$28,275.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,494.88 / $7,648.00 / $8,931.83	Professional		$7,494.88	$7,648.00	$8,931.83
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 $1,069.82 / $1,320.87 / $1,812.04	Facility		$1,069.82	$1,320.87	$1,812.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,036.26 / $1,384.56 / $2,762.89	Professional		$1,036.26	$1,384.56	$2,762.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,356.64 / $3,356.64 / $3,356.64	Professional		$3,356.64	$3,356.64	$3,356.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $966.66 / $1,329.15 / $1,774.71	Professional		$966.66	$1,329.15	$1,774.71
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 $809.04 / $1,076.04 / $2,268.76	Professional		$809.04	$1,076.04	$2,268.76