Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.25 / $8,090.00 / $18,309.00	Facility		$2,714.25	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,370.23 / $2,757.57 / $14,862.50	Professional		$2,370.23	$2,757.57	$14,862.50
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 $3,251.67 / $4,104.04 / $8,048.82	Professional		$3,251.67	$4,104.04	$8,048.82
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 $2,262.71 / $3,253.35 / $7,202.55	Professional		$2,262.71	$3,253.35	$7,202.55
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 $2,790.68 / $3,537.47 / $7,602.87	Professional		$2,790.68	$3,537.47	$7,602.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,465.37 / $3,177.69 / $4,289.88	Professional		$2,465.37	$3,177.69	$4,289.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,577.06 / $3,614.04 / $6,488.57	Professional		$2,577.06	$3,614.04	$6,488.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $18,508.77 / $23,089.78	Facility		$2,000.00	$18,508.77	$23,089.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,360.80 / $20,784.32 / $24,287.55	Professional		$20,360.80	$20,784.32	$24,287.55
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 $2,920.67 / $3,629.15 / $5,096.10	Facility		$2,920.67	$3,629.15	$5,096.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,798.92 / $3,701.89 / $7,558.18	Professional		$2,798.92	$3,701.89	$7,558.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,221.87 / $9,221.87 / $9,221.87	Professional		$9,221.87	$9,221.87	$9,221.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,563.42 / $3,524.71 / $4,663.54	Professional		$2,563.42	$3,524.71	$4,663.54
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 $2,270.21 / $2,968.37 / $6,156.06	Professional		$2,270.21	$2,968.37	$6,156.06