Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,881.90 / $8,090.00 / $19,303.50	Facility		$2,881.90	$8,090.00	$19,303.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,589.96 / $2,881.90 / $17,186.59	Professional		$2,589.96	$2,881.90	$17,186.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,636.00 / $4,761.58 / $9,162.71	Professional		$3,636.00	$4,761.58	$9,162.71
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 $2,630.71 / $3,768.39 / $8,463.45	Professional		$2,630.71	$3,768.39	$8,463.45
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 $3,059.30 / $4,022.84 / $8,866.37	Professional		$3,059.30	$4,022.84	$8,866.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,463.88 / $3,718.90 / $4,660.72	Professional		$2,463.88	$3,718.90	$4,660.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,992.09 / $4,173.21 / $7,543.54	Professional		$2,992.09	$4,173.21	$7,543.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $21,345.17 / $26,792.71	Facility		$2,000.00	$21,345.17	$26,792.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,510.32 / $24,103.04 / $28,035.08	Professional		$23,510.32	$24,103.04	$28,035.08
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 $3,337.97 / $4,114.66 / $5,617.78	Facility		$3,337.97	$4,114.66	$5,617.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,062.28 / $4,216.93 / $8,787.95	Professional		$3,062.28	$4,216.93	$8,787.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,663.98 / $10,663.98 / $10,663.98	Professional		$10,663.98	$10,663.98	$10,663.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,000.62 / $3,695.82 / $4,660.72	Professional		$3,000.62	$3,695.82	$4,660.72
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 $2,474.67 / $3,331.31 / $7,314.26	Professional		$2,474.67	$3,331.31	$7,314.26