Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $10,004.00 / $21,960.90	Facility		$3,089.46	$10,004.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.94 / $1,666.37 / $4,723.52	Professional		$1,399.94	$1,666.37	$4,723.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $14,419.00 / $49,214.59	Facility		$4,990.00	$14,419.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,780.14 / $2,354.62 / $4,889.33	Professional		$1,780.14	$2,354.62	$4,889.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $7,373.15	Facility		$64.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,028.27 / $1,474.08 / $3,446.63	Professional		$1,028.27	$1,474.08	$3,446.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,876.00 / $6,876.00 / $6,876.00	Facility		$6,876.00	$6,876.00	$6,876.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.47 / $2,115.27 / $4,707.60	Professional		$1,513.47	$2,115.27	$4,707.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.40 / $1,959.70 / $2,449.63	Professional		$927.40	$1,959.70	$2,449.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,603.08 / $2,226.60 / $3,783.00	Professional		$1,603.08	$2,226.60	$3,783.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $14,637.96 / $18,257.40	Facility		$5,000.00	$14,637.96	$18,257.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,625.14 / $13,625.14 / $14,943.08	Professional		$13,625.14	$13,625.14	$14,943.08
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 $1,761.57 / $2,199.88 / $2,997.62	Facility		$1,761.57	$2,199.88	$2,997.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.47 / $2,206.96 / $4,696.46	Professional		$1,513.47	$2,206.96	$4,696.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,731.55 / $5,731.55 / $5,731.55	Professional		$5,731.55	$5,731.55	$5,731.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,205.61 / $1,669.32 / $2,173.78	Professional		$1,205.61	$1,669.32	$2,173.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $43,423.00	Facility		$8,830.00	$18,315.00	$43,423.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.11 / $1,817.02 / $3,900.51	Professional		$1,385.11	$1,817.02	$3,900.51