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 $1,063.17 / $1,259.81 / $6,736.55	Professional		$1,063.17	$1,259.81	$6,736.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.66 / $1,621.20 / $3,312.47	Professional		$1,204.66	$1,621.20	$3,312.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $930.49 / $1,335.35 / $3,020.88	Professional		$930.49	$1,335.35	$3,020.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $18,354.18 / $32,873.15	Facility		$2,813.00	$18,354.18	$32,873.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.03 / $1,575.40 / $3,403.96	Professional		$1,225.03	$1,575.40	$3,403.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $934.47 / $1,509.31 / $2,037.57	Professional		$934.47	$1,509.31	$2,037.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.45 / $1,691.09 / $3,031.89	Professional		$1,202.45	$1,691.09	$3,031.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,843.24 / $26,542.00 / $53,010.65	Facility		$4,843.24	$26,542.00	$53,010.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,355.04 / $9,568.56 / $11,145.83	Professional		$9,355.04	$9,568.56	$11,145.83
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 $1,241.00 / $1,623.12 / $2,252.88	Facility		$1,241.00	$1,623.12	$2,252.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.71 / $1,675.87 / $3,403.96	Professional		$1,249.71	$1,675.87	$3,403.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,179.91 / $4,179.91 / $4,179.91	Professional		$4,179.91	$4,179.91	$4,179.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,214.81 / $1,401.71 / $1,767.67	Professional		$1,214.81	$1,401.71	$1,767.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.70 / $1,298.50 / $2,854.42	Professional		$1,001.70	$1,298.50	$2,854.42