Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.39 / $1,149.04 / $5,716.49	Professional		$914.39	$1,149.04	$5,716.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,311.00 / $15,328.00	Facility		$2,696.00	$7,311.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.72 / $1,544.01 / $3,100.21	Professional		$1,240.72	$1,544.01	$3,100.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $797.59 / $1,165.85 / $2,718.00	Professional		$797.59	$1,165.85	$2,718.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.22 / $1,252.46 / $2,905.25	Professional		$977.22	$1,252.46	$2,905.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $951.60 / $1,238.11 / $1,671.46	Professional		$951.60	$1,238.11	$1,671.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.54 / $1,369.19 / $2,536.48	Professional		$992.54	$1,369.19	$2,536.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,021.42 / $16,547.20 / $26,542.00	Facility		$7,021.42	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,006.77 / $9,006.77 / $9,195.15	Professional		$9,006.77	$9,006.77	$9,195.15
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 $1,027.09 / $1,343.30 / $1,937.99	Facility		$1,027.09	$1,343.30	$1,937.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.45 / $1,294.64 / $2,735.12	Professional		$989.45	$1,294.64	$2,735.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,546.98 / $3,546.98 / $3,546.98	Professional		$3,546.98	$3,546.98	$3,546.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $999.30 / $1,374.04 / $2,040.07	Professional		$999.30	$1,374.04	$2,040.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,934.00 / $12,434.00 / $26,451.00	Facility		$6,934.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.42 / $1,116.41 / $2,403.39	Professional		$849.42	$1,116.41	$2,403.39