Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $10,321.00 / $22,007.00	Facility		$3,696.00	$10,321.00	$22,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,365.89 / $3,830.71 / $19,397.20	Professional		$3,365.89	$3,830.71	$19,397.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $11,276.00 / $24,301.00	Facility		$3,275.00	$11,276.00	$24,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,576.74 / $6,817.55 / $12,871.72	Professional		$4,576.74	$6,817.55	$12,871.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,799.91 / $4,066.13 / $9,471.79	Professional		$2,799.91	$4,066.13	$9,471.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,636.34 / $4,866.43 / $10,979.92	Professional		$3,636.34	$4,866.43	$10,979.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,182.42 / $3,881.00 / $5,045.30	Professional		$3,182.42	$3,881.00	$5,045.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,332.42 / $4,351.47 / $8,003.01	Professional		$3,332.42	$4,351.47	$8,003.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $55,044.96 / $68,071.84	Facility		$2,800.00	$55,044.96	$68,071.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,031.20 / $26,686.64 / $31,740.98	Professional		$26,031.20	$26,686.64	$31,740.98
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 $3,494.31 / $4,443.22 / $6,209.60	Facility		$3,494.31	$4,443.22	$6,209.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,706.65 / $5,220.20 / $10,035.99	Professional		$3,706.65	$5,220.20	$10,035.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,035.59 / $12,035.59 / $12,035.59	Professional		$12,035.59	$12,035.59	$12,035.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,182.42 / $4,299.31 / $4,773.63	Professional		$3,182.42	$4,299.31	$4,773.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,074.69 / $4,336.60 / $9,450.81	Professional		$3,074.69	$4,336.60	$9,450.81