Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,715.19 / $23,988.33	Facility		$4,786.30	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $18,197.01	Professional		$4,466.84	$5,370.32	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $11,481.54	Professional		$2,754.23	$5,888.44	$11,481.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,481.54	Facility		$60.26	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $7,244.36	Professional		$1,995.26	$2,884.03	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $5,888.44 / $11,220.18	Professional		$2,187.76	$5,888.44	$11,220.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $6,165.95	Professional		$1,862.09	$2,818.38	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $9,549.93	Professional		$3,981.07	$4,786.30	$9,549.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $87,096.36	Facility		$54.95	$56.23	$87,096.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,884.42 / $41,686.94 / $41,686.94	Professional		$33,884.42	$41,686.94	$41,686.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $9,772.37	Facility		$3,019.95	$5,623.41	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $12,302.69	Professional		$1,949.84	$5,888.44	$12,302.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,466.84	Professional		$2,344.23	$3,311.31	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,248.07 / $10,000.00	Professional		$3,801.89	$5,248.07	$10,000.00