Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.13 / $9,674.00 / $21,960.90	Facility		$1,326.13	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,377.49 / $6,997.60	Professional		$1,167.83	$1,377.49	$6,997.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$11,289.00	$26,404.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.98 / $2,192.71 / $3,890.22	Professional		$1,772.98	$2,192.71	$3,890.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $975.30 / $1,400.65 / $3,180.59	Professional		$975.30	$1,400.65	$3,180.59
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 $1,333.00 / $1,705.49 / $3,646.33	Professional		$1,333.00	$1,705.49	$3,646.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,526.18 / $1,964.16	Professional		$1,038.33	$1,526.18	$1,964.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.21 / $1,766.59 / $3,187.52	Professional		$1,289.21	$1,766.59	$3,187.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $14,861.44 / $17,998.75	Facility		$5,000.00	$14,861.44	$17,998.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,274.83 / $10,274.83 / $12,770.18	Professional		$10,274.83	$10,274.83	$12,770.18
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 $1,436.36 / $1,753.21 / $2,690.30	Facility		$1,436.36	$1,753.21	$2,690.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.00 / $1,769.33 / $3,660.35	Professional		$1,333.00	$1,769.33	$3,660.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,341.89 / $4,341.89 / $4,341.89	Professional		$4,341.89	$4,341.89	$4,341.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,228.26 / $1,557.52 / $1,964.15	Professional		$1,228.26	$1,557.52	$1,964.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.96 / $1,440.36 / $2,882.91	Professional		$1,082.96	$1,440.36	$2,882.91