Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.53 / $9,674.00 / $22,788.00	Facility		$1,165.53	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.75 / $1,165.53 / $5,954.09	Professional		$804.75	$1,165.53	$5,954.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.44 / $1,699.00 / $20,997.00	Facility		$1,149.44	$1,699.00	$20,997.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $1,391.57 / $3,095.31	Professional		$165.14	$1,391.57	$3,095.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $879.80 / $1,296.76 / $2,990.90	Professional		$879.80	$1,296.76	$2,990.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.42 / $1,472.26 / $1,806.87	Professional		$1,338.42	$1,472.26	$1,806.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.26 / $1,475.57 / $2,334.00	Professional		$1,133.26	$1,475.57	$2,334.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,113.85 / $6,733.25 / $6,733.25	Facility		$2,113.85	$6,733.25	$6,733.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,680.91 / $7,680.91 / $10,658.85	Professional		$7,680.91	$7,680.91	$10,658.85
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 $1,107.29 / $1,480.78 / $2,157.46	Facility		$1,107.29	$1,480.78	$2,157.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $3,143.38	Professional		$1,109.10	$1,109.10	$3,143.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,694.38 / $3,694.38 / $3,694.38	Professional		$3,694.38	$3,694.38	$3,694.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.05 / $1,263.88 / $2,758.13	Professional		$914.05	$1,263.88	$2,758.13