Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.37 / $9,674.00 / $21,960.90	Facility		$1,449.37	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.36 / $1,514.47 / $5,617.11	Professional		$1,200.36	$1,514.47	$5,617.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,222.00 / $26,030.80	Facility		$4,314.00	$11,222.00	$26,030.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,953.49 / $2,446.60 / $4,570.78	Professional		$1,953.49	$2,446.60	$4,570.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,634.22 / $3,682.51	Professional		$1,143.33	$1,634.22	$3,682.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.86 / $1,849.70 / $3,967.15	Professional		$1,463.86	$1,849.70	$3,967.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.16 / $1,638.96 / $2,212.60	Professional		$1,202.16	$1,638.96	$2,212.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.32 / $1,863.23 / $3,377.95	Professional		$1,341.32	$1,863.23	$3,377.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $19,069.54 / $23,789.92	Facility		$5,000.00	$19,069.54	$23,789.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,491.20 / $10,708.32 / $12,511.50	Professional		$10,491.20	$10,708.32	$12,511.50
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 $1,533.71 / $1,900.48 / $2,850.94	Facility		$1,533.71	$1,900.48	$2,850.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,463.86 / $1,919.24 / $3,947.51	Professional		$1,463.86	$1,919.24	$3,947.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,782.97 / $4,782.97 / $4,782.97	Professional		$4,782.97	$4,782.97	$4,782.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,322.17 / $1,803.24 / $2,274.02	Professional		$1,322.17	$1,803.24	$2,274.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,904.00 / $6,108.00 / $17,464.00	Facility		$1,904.00	$6,108.00	$17,464.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.74 / $1,567.14 / $3,175.32	Professional		$1,177.74	$1,567.14	$3,175.32