Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,862.59 / $21,960.90	Facility		$2,645.00	$9,862.59	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.44 / $1,570.68 / $8,591.54	Professional		$1,348.44	$1,570.68	$8,591.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.41 / $2,207.23 / $4,524.06	Professional		$1,629.41	$2,207.23	$4,524.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $1,805.27 / $4,056.92	Professional		$1,239.33	$1,805.27	$4,056.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $9,630.34 / $17,248.38	Facility		$4,445.00	$9,630.34	$17,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.29 / $1,987.89 / $4,456.75	Professional		$1,514.29	$1,987.89	$4,456.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.10 / $1,874.05 / $2,712.77	Professional		$1,434.10	$1,874.05	$2,712.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,506.64 / $2,082.98 / $3,740.33	Professional		$1,506.64	$2,082.98	$3,740.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,836.96 / $26,542.00 / $27,814.40	Facility		$11,836.96	$26,542.00	$27,814.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,959.18 / $23,959.18 / $23,959.18	Professional		$23,959.18	$23,959.18	$23,959.18
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 $1,617.35 / $2,044.13 / $3,230.82	Facility		$1,617.35	$2,044.13	$3,230.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,518.34 / $2,062.94 / $4,309.08	Professional		$1,518.34	$2,062.94	$4,309.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,330.91 / $5,330.91 / $5,330.91	Professional		$5,330.91	$5,330.91	$5,330.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.06 / $2,080.46 / $2,712.77	Professional		$1,513.06	$2,080.46	$2,712.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.03 / $1,667.70 / $3,718.05	Professional		$1,266.03	$1,667.70	$3,718.05