Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $8,511.38	Professional		$1,318.26	$1,659.59	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $4,365.16	Professional		$1,621.81	$2,137.96	$4,365.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $12,302.69	Facility		$66.07	$2,754.23	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,981.07	Professional		$1,318.26	$1,905.46	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,890.45	Professional		$1,348.96	$1,819.70	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,238.72	Professional		$1,071.52	$1,698.24	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,235.94	Professional		$1,348.96	$1,819.70	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $42,657.95	Facility		$9,772.37	$9,772.37	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,951.21	Facility		$1,412.54	$1,862.09	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,981.07	Professional		$1,318.26	$1,905.46	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,290.87	Professional		$1,348.96	$1,584.89	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,162.28	Professional		$1,148.15	$1,513.56	$3,162.28