Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $21,960.90	Facility		$2,421.00	$9,639.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.41 / $1,206.90 / $4,499.67	Professional		$995.41	$1,206.90	$4,499.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,973.00 / $17,774.00	Facility		$3,388.00	$8,973.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.95 / $1,750.20 / $3,303.60	Professional		$1,310.95	$1,750.20	$3,303.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $858.94 / $1,251.97 / $2,924.60	Professional		$858.94	$1,251.97	$2,924.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,377.16 / $3,207.19	Professional		$1,011.72	$1,377.16	$3,207.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,370.36 / $1,644.43	Professional		$843.26	$1,370.36	$1,644.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.84 / $1,511.74 / $3,658.86	Professional		$1,096.84	$1,511.74	$3,658.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,744.17 / $16,547.20 / $26,542.00	Facility		$7,744.17	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,631.98 / $8,754.48 / $10,142.93	Professional		$8,631.98	$8,754.48	$10,142.93
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 $1,114.93 / $1,481.20 / $2,071.81	Facility		$1,114.93	$1,481.20	$2,071.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,062.91 / $1,430.58 / $3,026.42	Professional		$1,062.91	$1,430.58	$3,026.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,906.55 / $3,906.55 / $3,906.55	Professional		$3,906.55	$3,906.55	$3,906.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,063.42 / $1,382.44 / $1,807.81	Professional		$1,063.42	$1,382.44	$1,807.81
United Facility/Professional Facility Modifier Low / Median / High Price $6,824.00 / $12,434.00 / $26,451.00	Facility		$6,824.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.60 / $1,224.35 / $3,050.54	Professional		$882.60	$1,224.35	$3,050.54