Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.74 / $9,674.00 / $21,960.90	Facility		$1,488.74	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.39 / $1,555.23 / $7,989.91	Professional		$1,311.39	$1,555.23	$7,989.91
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 $1,906.00 / $2,410.83 / $4,369.10	Professional		$1,906.00	$2,410.83	$4,369.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,090.30 / $1,565.17 / $3,555.29	Professional		$1,090.30	$1,565.17	$3,555.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.24 / $1,919.20 / $4,095.76	Professional		$1,479.24	$1,919.20	$4,095.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.65 / $1,715.56 / $2,151.69	Professional		$1,133.65	$1,715.56	$2,151.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.05 / $1,992.18 / $3,593.92	Professional		$1,453.05	$1,992.18	$3,593.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $16,745.08 / $20,302.15	Facility		$5,000.00	$16,745.08	$20,302.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,137.08 / $11,343.28 / $14,387.63	Professional		$11,137.08	$11,343.28	$14,387.63
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 $1,607.57 / $1,971.39 / $2,770.72	Facility		$1,607.57	$1,971.39	$2,770.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.61 / $1,989.64 / $4,130.18	Professional		$1,479.61	$1,989.64	$4,130.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,957.59 / $4,957.59 / $4,957.59	Professional		$4,957.59	$4,957.59	$4,957.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,385.36 / $1,700.48 / $2,144.44	Professional		$1,385.36	$1,700.48	$2,144.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,108.00 / $17,464.00	Facility		$1,919.00	$6,108.00	$17,464.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.74 / $1,649.86 / $3,589.48	Professional		$1,243.74	$1,649.86	$3,589.48