Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,314.00 / $17,030.00	Facility		$1,539.00	$6,314.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.45 / $1,117.16 / $5,843.88	Professional		$950.45	$1,117.16	$5,843.88
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 $1,282.96 / $1,763.67 / $3,207.45	Professional		$1,282.96	$1,763.67	$3,207.45
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 $847.34 / $1,212.72 / $2,768.47	Professional		$847.34	$1,212.72	$2,768.47
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 $1,070.83 / $1,400.65 / $3,050.23	Professional		$1,070.83	$1,400.65	$3,050.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $694.34 / $1,268.83 / $1,712.92	Professional		$694.34	$1,268.83	$1,712.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.59 / $1,437.13 / $2,605.44	Professional		$1,022.59	$1,437.13	$2,605.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,220.55 / $16,394.00 / $18,766.91	Facility		$5,220.55	$16,394.00	$18,766.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,049.20 / $8,216.16 / $9,596.18	Professional		$8,049.20	$8,216.16	$9,596.18
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 $1,157.15 / $1,426.78 / $1,931.50	Facility		$1,157.15	$1,426.78	$1,931.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.59 / $1,455.59 / $2,996.18	Professional		$1,092.59	$1,455.59	$2,996.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,626.02 / $3,626.02 / $3,626.02	Professional		$3,626.02	$3,626.02	$3,626.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $902.64 / $1,151.69 / $1,407.63	Professional		$902.64	$1,151.69	$1,407.63
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 $888.38 / $1,181.45 / $2,468.84	Professional		$888.38	$1,181.45	$2,468.84