Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,030.00	Facility		$1,919.00	$6,342.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.04 / $1,192.67 / $6,133.07	Professional		$997.04	$1,192.67	$6,133.07
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 $1,292.95 / $1,887.01 / $3,439.24	Professional		$1,292.95	$1,887.01	$3,439.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $921.73 / $1,316.75 / $2,980.03	Professional		$921.73	$1,316.75	$2,980.03
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 $1,113.09 / $1,461.06 / $3,201.17	Professional		$1,113.09	$1,461.06	$3,201.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $958.67 / $1,328.24 / $1,793.12	Professional		$958.67	$1,328.24	$1,793.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.00 / $1,505.55 / $2,729.50	Professional		$1,084.00	$1,505.55	$2,729.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,476.80 / $6,698.70 / $16,394.00	Facility		$5,476.80	$6,698.70	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,440.64 / $8,617.68 / $10,067.40	Professional		$8,440.64	$8,617.68	$10,067.40
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 $1,189.35 / $1,473.37 / $1,990.05	Facility		$1,189.35	$1,473.37	$1,990.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.03 / $1,527.67 / $3,127.68	Professional		$1,125.03	$1,527.67	$3,127.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,805.45 / $3,805.45 / $3,805.45	Professional		$3,805.45	$3,805.45	$3,805.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,438.01 / $1,813.44	Professional		$1,071.61	$1,438.01	$1,813.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.81 / $1,209.27 / $2,725.38	Professional		$918.81	$1,209.27	$2,725.38