Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,970.23 / $8,090.00 / $19,175.30	Facility		$2,970.23	$8,090.00	$19,175.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,482.01 / $3,189.04 / $17,073.50	Professional		$2,482.01	$3,189.04	$17,073.50
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 $3,219.65 / $4,363.32 / $8,033.20	Professional		$3,219.65	$4,363.32	$8,033.20
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 $2,158.69 / $3,117.12 / $7,143.68	Professional		$2,158.69	$3,117.12	$7,143.68
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 $2,742.52 / $3,706.18 / $8,382.77	Professional		$2,742.52	$3,706.18	$8,382.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.44 / $3,688.58 / $4,616.88	Professional		$2,437.44	$3,688.58	$4,616.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,971.85 / $4,177.89 / $7,492.58	Professional		$2,971.85	$4,177.89	$7,492.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,951.38 / $26,613.37	Facility		$55.00	$25,951.38	$26,613.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,352.24 / $23,941.52 / $27,850.05	Professional		$23,352.24	$23,941.52	$27,850.05
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 $3,167.20 / $4,010.77 / $5,443.90	Facility		$3,167.20	$4,010.77	$5,443.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,759.84 / $3,945.45 / $8,512.71	Professional		$2,759.84	$3,945.45	$8,512.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,593.78 / $10,593.78 / $10,593.78	Professional		$10,593.78	$10,593.78	$10,593.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,980.12 / $3,656.17 / $4,610.72	Professional		$2,980.12	$3,656.17	$4,610.72
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 $2,458.56 / $3,182.08 / $6,988.88	Professional		$2,458.56	$3,182.08	$6,988.88