Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,554.32 / $8,090.00 / $18,309.00	Facility		$2,554.32	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.81 / $2,573.67 / $9,966.04	Professional		$2,137.81	$2,573.67	$9,966.04
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 $2,857.74 / $3,722.86 / $7,490.75	Professional		$2,857.74	$3,722.86	$7,490.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $13,037.58	Facility		$64.40	$100.00	$13,037.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,177.21 / $3,121.53 / $6,930.42	Professional		$2,177.21	$3,121.53	$6,930.42
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 $2,293.67 / $3,190.71 / $6,999.87	Professional		$2,293.67	$3,190.71	$6,999.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,276.98 / $3,036.67 / $4,099.50	Professional		$2,276.98	$3,036.67	$4,099.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,441.12 / $3,432.34 / $6,154.48	Professional		$2,441.12	$3,432.34	$6,154.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $22,367.16 / $27,933.12	Facility		$2,000.00	$22,367.16	$27,933.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,164.80 / $19,546.00 / $22,851.38	Professional		$19,164.80	$19,546.00	$22,851.38
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 $2,745.87 / $3,404.12 / $4,492.32	Facility		$2,745.87	$3,404.12	$4,492.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,349.62 / $3,371.68 / $6,966.71	Professional		$2,349.62	$3,371.68	$6,966.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,615.16 / $8,615.16 / $8,615.16	Professional		$8,615.16	$8,615.16	$8,615.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,450.21 / $3,369.06 / $4,307.18	Professional		$2,450.21	$3,369.06	$4,307.18
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 $1,999.40 / $2,680.86 / $5,869.80	Professional		$1,999.40	$2,680.86	$5,869.80