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 $1,091.70 / $1,304.65 / $6,642.03	Professional		$1,091.70	$1,304.65	$6,642.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,286.00 / $17,058.00	Facility		$3,640.00	$8,286.00	$17,058.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.05 / $1,807.31 / $3,602.53	Professional		$1,443.05	$1,807.31	$3,602.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,008.33 / $1,443.48 / $3,240.62	Professional		$1,008.33	$1,443.48	$3,240.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.99 / $1,592.16 / $3,415.66	Professional		$1,261.99	$1,592.16	$3,415.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,446.87 / $1,914.15	Professional		$1,011.91	$1,446.87	$1,914.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.57 / $1,636.90 / $2,935.59	Professional		$1,178.57	$1,636.90	$2,935.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,169.95 / $10,385.62	Facility		$55.00	$10,169.95	$10,385.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,152.87 / $9,344.56 / $10,910.70	Professional		$9,152.87	$9,344.56	$10,910.70
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 $1,319.54 / $1,642.59 / $2,319.98	Facility		$1,319.54	$1,642.59	$2,319.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.47 / $1,656.96 / $3,388.24	Professional		$1,272.47	$1,656.96	$3,388.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,121.26 / $4,121.26 / $4,121.26	Professional		$4,121.26	$4,121.26	$4,121.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,167.42 / $1,517.87 / $1,914.15	Professional		$1,167.42	$1,517.87	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.87 / $1,325.17 / $2,778.77	Professional		$993.87	$1,325.17	$2,778.77