Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.94 / $8,090.00 / $18,309.00	Facility		$2,221.94	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.25 / $2,364.75 / $14,823.10	Professional		$2,018.25	$2,364.75	$14,823.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,290.75 / $9,030.00 / $17,774.00	Facility		$3,290.75	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,840.97 / $3,741.70 / $7,088.38	Professional		$2,840.97	$3,741.70	$7,088.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,072.57 / $2,975.68 / $6,656.88	Professional		$2,072.57	$2,975.68	$6,656.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,340.54 / $3,193.37 / $7,171.51	Professional		$2,340.54	$3,193.37	$7,171.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,223.00 / $3,166.36 / $4,274.59	Professional		$2,223.00	$3,166.36	$4,274.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,568.69 / $3,601.75 / $6,466.75	Professional		$2,568.69	$3,601.75	$6,466.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $23,722.83 / $29,598.84	Facility		$2,000.00	$23,722.83	$29,598.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,296.08 / $20,722.64 / $24,211.65	Professional		$20,296.08	$20,722.64	$24,211.65
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 $2,881.40 / $3,527.32 / $5,066.18	Facility		$2,881.40	$3,527.32	$5,066.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400.21 / $3,463.01 / $7,346.53	Professional		$2,400.21	$3,463.01	$7,346.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,197.44 / $9,197.44 / $9,197.44	Professional		$9,197.44	$9,197.44	$9,197.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,554.26 / $3,334.50 / $4,205.08	Professional		$2,554.26	$3,334.50	$4,205.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,084.15 / $2,776.92 / $6,254.82	Professional		$2,084.15	$2,776.92	$6,254.82