Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,199.40 / $17,054.00	Facility		$1,919.00	$6,199.40	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.74 / $1,096.96 / $5,515.45	Professional		$912.74	$1,096.96	$5,515.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.83 / $1,675.87 / $3,054.41	Professional		$1,073.83	$1,675.87	$3,054.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $796.99 / $1,144.85 / $2,576.86	Professional		$796.99	$1,144.85	$2,576.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,067.55 / $10,867.25	Facility		$1,992.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.48 / $1,310.27 / $2,838.28	Professional		$1,017.48	$1,310.27	$2,838.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $781.46 / $1,189.93 / $1,606.41	Professional		$781.46	$1,189.93	$1,606.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.89 / $1,347.06 / $2,442.17	Professional		$969.89	$1,347.06	$2,442.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,908.20 / $16,394.00 / $17,524.30	Facility		$3,908.20	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,544.16 / $7,734.40 / $8,972.40	Professional		$7,544.16	$7,734.40	$8,972.40
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 $1,044.82 / $1,307.20 / $1,800.16	Facility		$1,044.82	$1,307.20	$1,800.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.10 / $1,363.87 / $2,806.02	Professional		$1,027.10	$1,363.87	$2,806.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,422.24 / $3,422.24 / $3,422.24	Professional		$3,422.24	$3,422.24	$3,422.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $960.13 / $1,172.19 / $1,478.22	Professional		$960.13	$1,172.19	$1,478.22
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 $822.20 / $1,117.03 / $2,328.61	Professional		$822.20	$1,117.03	$2,328.61