Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.69 / $10,321.00 / $22,788.00	Facility		$2,234.69	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $2,225.06 / $9,639.00	Professional		$1,897.74	$2,225.06	$9,639.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,824.00 / $25,439.00	Facility		$3,434.00	$11,824.00	$25,439.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,217.69 / $3,122.99 / $6,118.55	Professional		$2,217.69	$3,122.99	$6,118.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,719.51	Facility		$63.90	$100.00	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,572.14 / $2,326.26 / $5,474.88	Professional		$1,572.14	$2,326.26	$5,474.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,151.00 / $13,577.00	Facility		$633.00	$2,151.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.41 / $2,674.79 / $5,934.43	Professional		$1,957.41	$2,674.79	$5,934.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.86 / $2,332.10 / $3,031.73	Professional		$1,103.86	$2,332.10	$3,031.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,948.59 / $2,553.13 / $4,885.60	Professional		$1,948.59	$2,553.13	$4,885.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $15,438.16 / $19,560.32	Facility		$2,800.00	$15,438.16	$19,560.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,297.00 / $15,578.32 / $17,475.53	Professional		$15,297.00	$15,578.32	$17,475.53
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 $1,986.71 / $2,590.00 / $4,085.00	Facility		$1,986.71	$2,590.00	$4,085.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.70 / $2,864.45 / $5,669.19	Professional		$1,961.70	$2,864.45	$5,669.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,913.59 / $6,913.59 / $6,913.59	Professional		$6,913.59	$6,913.59	$6,913.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,103.86 / $1,986.97 / $2,588.54	Professional		$1,103.86	$1,986.97	$2,588.54
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 $1,714.17 / $2,336.39 / $6,240.53	Professional		$1,714.17	$2,336.39	$6,240.53