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 $1,219.50 / $1,447.27 / $7,455.11	Professional		$1,219.50	$1,447.27	$7,455.11
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 $1,622.66 / $2,350.40 / $4,354.02	Professional		$1,622.66	$2,350.40	$4,354.02
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 $1,041.64 / $1,490.26 / $3,405.25	Professional		$1,041.64	$1,490.26	$3,405.25
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 $1,368.56 / $1,821.21 / $4,026.44	Professional		$1,368.56	$1,821.21	$4,026.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $875.28 / $1,605.97 / $2,168.06	Professional		$875.28	$1,605.97	$2,168.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.76 / $1,822.98 / $3,304.98	Professional		$1,297.76	$1,822.98	$3,304.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,318.08 / $17,524.30 / $26,542.00	Facility		$5,318.08	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,055.60 / $11,055.60 / $12,216.83	Professional		$11,055.60	$11,055.60	$12,216.83
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 $1,458.38 / $1,806.39 / $2,438.85	Facility		$1,458.38	$1,806.39	$2,438.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.56 / $1,905.09 / $3,797.06	Professional		$1,368.56	$1,905.09	$3,797.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,625.77 / $4,625.77 / $4,625.77	Professional		$4,625.77	$4,625.77	$4,625.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,137.85 / $1,457.57 / $1,781.47	Professional		$1,137.85	$1,457.57	$1,781.47
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 $1,134.33 / $1,533.13 / $3,460.53	Professional		$1,134.33	$1,533.13	$3,460.53