Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.62 / $9,674.00 / $21,960.90	Facility		$1,627.62	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.05 / $1,677.48 / $8,647.07	Professional		$1,434.05	$1,677.48	$8,647.07
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 $2,027.25 / $2,647.75 / $4,787.13	Professional		$2,027.25	$2,647.75	$4,787.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,343.54	Facility		$63.90	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,201.96 / $1,731.31 / $3,915.01	Professional		$1,201.96	$1,731.31	$3,915.01
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 $1,604.60 / $2,078.17 / $4,419.75	Professional		$1,604.60	$2,078.17	$4,419.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.40 / $1,854.45 / $2,374.73	Professional		$1,255.40	$1,854.45	$2,374.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,569.83 / $2,147.67 / $3,877.26	Professional		$1,569.83	$2,147.67	$3,877.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $18,112.05 / $21,960.84	Facility		$5,000.00	$18,112.05	$21,960.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,062.04 / $12,265.60 / $15,564.23	Professional		$12,062.04	$12,265.60	$15,564.23
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 $1,759.91 / $2,128.06 / $3,188.92	Facility		$1,759.91	$2,128.06	$3,188.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,630.97 / $2,154.63 / $4,467.17	Professional		$1,630.97	$2,154.63	$4,467.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,365.36 / $5,365.36 / $5,365.36	Professional		$5,365.36	$5,365.36	$5,365.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,492.36 / $1,883.09 / $2,374.73	Professional		$1,492.36	$1,883.09	$2,374.73
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 $1,352.06 / $1,761.86 / $3,707.96	Professional		$1,352.06	$1,761.86	$3,707.96