Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,715.19 / $25,703.96	Facility		$3,467.37	$10,715.19	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $5,754.40	Professional		$1,148.15	$1,380.38	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,302.69 / $19,498.45	Facility		$6,165.95	$12,302.69	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,019.95	Professional		$1,258.93	$1,621.81	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $11,220.18	Facility		$63.10	$100.00	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,090.30	Professional		$1,122.02	$1,621.81	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $10,715.19 / $34,673.69	Facility		$660.69	$10,715.19	$34,673.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,951.21	Professional		$1,071.52	$1,548.82	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,778.28	Professional		$933.25	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,691.53	Professional		$1,096.48	$1,318.26	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $17,378.01	Facility		$4,466.84	$4,466.84	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,964.78 / $10,964.78	Professional		$9,772.37	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,691.53	Facility		$1,174.90	$1,584.89	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,235.94	Professional		$1,047.13	$1,548.82	$3,235.94
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,995.26	Professional		$1,071.52	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $22,908.68	Facility		$4,073.80	$10,000.00	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,570.40	Professional		$1,023.29	$1,348.96	$2,570.40