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 $905.84 / $1,107.15 / $5,599.26	Professional		$905.84	$1,107.15	$5,599.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.17 / $1,532.45 / $3,039.60	Professional		$1,214.17	$1,532.45	$3,039.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,263.42	Facility		$64.40	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $836.71 / $1,199.38 / $2,730.08	Professional		$836.71	$1,199.38	$2,730.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Facility		$3,990.00	$3,990.00	$3,990.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.73 / $1,344.46 / $2,886.24	Professional		$1,049.73	$1,344.46	$2,886.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $901.34 / $1,232.51 / $1,663.89	Professional		$901.34	$1,232.51	$1,663.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.04 / $1,390.34 / $2,566.86	Professional		$1,001.04	$1,390.34	$2,566.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,015.60 / $6,276.50	Facility		$2,000.00	$5,015.60	$6,276.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,214.82 / $9,214.82 / $9,224.70	Professional		$9,214.82	$9,214.82	$9,224.70
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 $1,117.66 / $1,403.42 / $2,119.42	Facility		$1,117.66	$1,403.42	$2,119.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,065.86 / $1,444.33 / $2,861.35	Professional		$1,065.86	$1,444.33	$2,861.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,474.23 / $3,474.23 / $3,474.23	Professional		$3,474.23	$3,474.23	$3,474.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $994.58 / $1,352.01 / $1,704.99	Professional		$994.58	$1,352.01	$1,704.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.19 / $1,114.92 / $2,466.02	Professional		$836.19	$1,114.92	$2,466.02