Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,218.00 / $17,538.00	Facility		$1,919.00	$6,218.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.25 / $1,042.33 / $5,478.25	Professional		$740.25	$1,042.33	$5,478.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.62 / $1,142.85 / $2,235.96	Professional		$799.62	$1,142.85	$2,235.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $895.61 / $2,101.71	Professional		$626.79	$895.61	$2,101.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $1,175.69 / $2,740.24	Professional		$840.42	$1,175.69	$2,740.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,188.80 / $1,604.88	Professional		$893.52	$1,188.80	$1,604.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.34 / $1,387.93 / $2,479.25	Professional		$1,001.34	$1,387.93	$2,479.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,240.70 / $6,213.25 / $16,394.00	Facility		$5,240.70	$6,213.25	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,642.32 / $7,801.12 / $9,906.83	Professional		$7,642.32	$7,801.12	$9,906.83
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 $1,001.96 / $1,326.94 / $1,829.78	Facility		$1,001.96	$1,326.94	$1,829.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $1,240.05 / $2,793.23	Professional		$840.42	$1,240.05	$2,793.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,399.16 / $3,399.16 / $3,399.16	Professional		$3,399.16	$3,399.16	$3,399.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $956.81 / $1,315.61 / $1,690.20	Professional		$956.81	$1,315.61	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.52 / $1,007.36 / $2,334.48	Professional		$755.52	$1,007.36	$2,334.48