Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.60 / $1,089.20 / $5,735.22	Professional		$949.60	$1,089.20	$5,735.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.55 / $1,838.03 / $3,363.37	Professional		$1,314.55	$1,838.03	$3,363.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,218.04	Facility		$66.00	$100.00	$10,218.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $926.60 / $1,345.79 / $2,915.04	Professional		$926.60	$1,345.79	$2,915.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $7,690.42 / $13,773.88	Facility		$2,813.00	$7,690.42	$13,773.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.31 / $1,409.78 / $3,050.78	Professional		$1,094.31	$1,409.78	$3,050.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $832.46 / $1,246.69 / $1,683.03	Professional		$832.46	$1,246.69	$1,683.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.87 / $1,400.45 / $2,540.34	Professional		$1,008.87	$1,400.45	$2,540.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,975.34 / $22,211.50 / $26,542.00	Facility		$5,975.34	$22,211.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,817.68 / $8,063.68 / $9,073.65	Professional		$7,817.68	$8,063.68	$9,073.65
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 $1,118.68 / $1,366.13 / $1,907.12	Facility		$1,118.68	$1,366.13	$1,907.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.89 / $1,461.65 / $2,935.75	Professional		$1,092.89	$1,461.65	$2,935.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,558.61 / $3,558.61 / $3,558.61	Professional		$3,558.61	$3,558.61	$3,558.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,006.70 / $1,248.69 / $1,574.70	Professional		$1,006.70	$1,248.69	$1,574.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.12 / $1,157.73 / $2,418.46	Professional		$876.12	$1,157.73	$2,418.46