Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,496.44 / $8,090.00 / $18,309.00	Facility		$2,496.44	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.10 / $2,496.44 / $12,891.30	Professional		$2,102.10	$2,496.44	$12,891.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $25,419.52	Facility		$3,908.00	$10,710.50	$25,419.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,928.37 / $3,671.55 / $7,102.39	Professional		$2,928.37	$3,671.55	$7,102.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $15,457.42	Facility		$64.40	$100.00	$15,457.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,066.67 / $2,970.17 / $6,519.80	Professional		$2,066.67	$2,970.17	$6,519.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.03 / $3,173.95 / $6,728.30	Professional		$2,515.03	$3,173.95	$6,728.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.06 / $2,735.05 / $3,692.32	Professional		$2,319.06	$2,735.05	$3,692.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,235.98 / $3,107.04 / $5,567.19	Professional		$2,235.98	$3,107.04	$5,567.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $20,260.43 / $25,559.28	Facility		$2,000.00	$20,260.43	$25,559.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,665.09 / $20,451.70 / $20,500.80	Professional		$19,665.09	$20,451.70	$20,500.80
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 $2,530.54 / $3,140.66 / $4,415.07	Facility		$2,530.54	$3,140.66	$4,415.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,530.88 / $3,275.84 / $6,538.38	Professional		$2,530.88	$3,275.84	$6,538.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,998.82 / $7,998.82 / $7,998.82	Professional		$7,998.82	$7,998.82	$7,998.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,319.06 / $3,035.36 / $4,386.77	Professional		$2,319.06	$3,035.36	$4,386.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,955.07 / $2,570.05 / $5,248.77	Professional		$1,955.07	$2,570.05	$5,248.77