Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.47 / $1,245.08 / $6,698.70	Professional		$1,066.47	$1,245.08	$6,698.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,689.00 / $22,145.00	Facility		$3,585.00	$11,689.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,429.36 / $1,755.61 / $3,564.32	Professional		$1,429.36	$1,755.61	$3,564.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,381.88	Facility		$66.00	$100.00	$16,381.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $888.99 / $1,272.49 / $2,906.40	Professional		$888.99	$1,272.49	$2,906.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $13,026.72 / $23,331.45	Facility		$4,445.00	$13,026.72	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.39 / $1,580.17 / $3,456.21	Professional		$1,208.39	$1,580.17	$3,456.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,477.62 / $1,994.79	Professional		$843.26	$1,477.62	$1,994.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.18 / $1,665.95 / $2,985.60	Professional		$1,184.18	$1,665.95	$2,985.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,206.30 / $26,542.00 / $37,623.85	Facility		$7,206.30	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,268.24 / $9,454.64 / $11,047.35	Professional		$9,268.24	$9,454.64	$11,047.35
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 $1,315.81 / $1,650.23 / $2,239.19	Facility		$1,315.81	$1,650.23	$2,239.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,213.66 / $1,641.48 / $3,391.26	Professional		$1,213.66	$1,641.48	$3,391.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,156.42 / $4,156.42 / $4,156.42	Professional		$4,156.42	$4,156.42	$4,156.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,341.42 / $1,639.52	Professional		$1,096.24	$1,341.42	$1,639.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.81 / $1,327.57 / $2,834.05	Professional		$999.81	$1,327.57	$2,834.05