Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.10 / $1,375.98 / $7,167.27	Professional		$1,173.10	$1,375.98	$7,167.27
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 $1,688.35 / $2,225.92 / $4,065.85	Professional		$1,688.35	$2,225.92	$4,065.85
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 $1,071.90 / $1,531.65 / $3,473.47	Professional		$1,071.90	$1,531.65	$3,473.47
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 $1,261.65 / $1,678.13 / $3,656.33	Professional		$1,261.65	$1,678.13	$3,656.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.01 / $1,545.22 / $2,086.05	Professional		$1,102.01	$1,545.22	$2,086.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.71 / $1,753.76 / $3,179.50	Professional		$1,262.71	$1,753.76	$3,179.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,508.30 / $17,524.30 / $26,542.00	Facility		$11,508.30	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,850.48 / $10,052.56 / $11,750.03	Professional		$9,850.48	$10,052.56	$11,750.03
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 $1,342.01 / $1,706.46 / $2,319.79	Facility		$1,342.01	$1,706.46	$2,319.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.01 / $1,760.24 / $3,629.80	Professional		$1,276.01	$1,760.24	$3,629.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,447.14 / $4,447.14 / $4,447.14	Professional		$4,447.14	$4,447.14	$4,447.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,246.61 / $1,653.01 / $2,084.58	Professional		$1,246.61	$1,653.01	$2,084.58
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 $1,106.00 / $1,472.61 / $3,020.48	Professional		$1,106.00	$1,472.61	$3,020.48