Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.35 / $1,031.83 / $5,177.16	Professional		$882.35	$1,031.83	$5,177.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.08 / $1,692.81 / $3,036.04	Professional		$1,225.08	$1,692.81	$3,036.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $840.37 / $1,203.17 / $2,628.68	Professional		$840.37	$1,203.17	$2,628.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,067.55 / $10,867.25	Facility		$2,277.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.08 / $1,313.18 / $2,824.78	Professional		$1,019.08	$1,313.18	$2,824.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,091.84 / $1,702.88	Professional		$900.22	$1,091.84	$1,702.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.35 / $1,258.81 / $2,273.79	Professional		$906.35	$1,258.81	$2,273.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,700.70 / $17,524.30 / $26,542.00	Facility		$4,700.70	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,371.96 / $7,371.96 / $8,698.87	Professional		$7,371.96	$7,371.96	$8,698.87
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 $1,048.07 / $1,284.34 / $1,728.62	Facility		$1,048.07	$1,284.34	$1,728.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,019.08 / $1,349.51 / $2,702.69	Professional		$1,019.08	$1,349.51	$2,702.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,212.33 / $3,212.33 / $3,212.33	Professional		$3,212.33	$3,212.33	$3,212.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,210.00 / $1,702.88	Professional		$900.22	$1,210.00	$1,702.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,081.15 / $2,163.21	Professional		$812.00	$1,081.15	$2,163.21