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 $1,122.58 / $1,345.69 / $6,913.29	Professional		$1,122.58	$1,345.69	$6,913.29
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 $1,405.60 / $2,078.34 / $3,800.16	Professional		$1,405.60	$2,078.34	$3,800.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,404.02	Facility		$66.00	$100.00	$8,404.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $946.60 / $1,357.46 / $3,094.58	Professional		$946.60	$1,357.46	$3,094.58
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 $1,241.13 / $1,645.25 / $3,557.72	Professional		$1,241.13	$1,645.25	$3,557.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $768.80 / $1,488.91 / $2,010.03	Professional		$768.80	$1,488.91	$2,010.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.22 / $1,679.77 / $3,064.15	Professional		$1,203.22	$1,679.77	$3,064.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,930.12 / $17,524.30 / $26,542.00	Facility		$4,930.12	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,496.56 / $9,692.08 / $11,323.88	Professional		$9,496.56	$9,692.08	$11,323.88
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 $1,345.69 / $1,666.90 / $2,252.94	Facility		$1,345.69	$1,666.90	$2,252.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,241.13 / $1,724.45 / $3,524.82	Professional		$1,241.13	$1,724.45	$3,524.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,289.57 / $4,289.57 / $4,289.57	Professional		$4,289.57	$4,289.57	$4,289.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $999.44 / $1,351.33 / $1,651.63	Professional		$999.44	$1,351.33	$1,651.63
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 $1,036.80 / $1,399.07 / $2,918.75	Professional		$1,036.80	$1,399.07	$2,918.75