Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.95 / $9,674.00 / $21,960.90	Facility		$1,121.95	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.23 / $1,170.03 / $5,650.12	Professional		$986.23	$1,170.03	$5,650.12
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 $1,502.38 / $1,823.27 / $3,296.48	Professional		$1,502.38	$1,823.27	$3,296.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $775.35 / $1,107.64 / $2,527.29	Professional		$775.35	$1,107.64	$2,527.29
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 $1,068.60 / $1,410.65 / $3,001.56	Professional		$1,068.60	$1,410.65	$3,001.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,348.52 / $1,820.50	Professional		$1,042.44	$1,348.52	$1,820.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.72 / $1,565.43 / $2,802.43	Professional		$1,127.72	$1,565.43	$2,802.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $12,945.02 / $15,720.65	Facility		$5,000.00	$12,945.02	$15,720.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,295.71 / $9,295.71 / $11,117.03	Professional		$9,295.71	$9,295.71	$11,117.03
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 $1,182.56 / $1,524.14 / $2,236.17	Facility		$1,182.56	$1,524.14	$2,236.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,068.60 / $1,466.90 / $3,019.08	Professional		$1,068.60	$1,466.90	$3,019.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,653.58 / $3,653.58 / $3,653.58	Professional		$3,653.58	$3,653.58	$3,653.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,085.59 / $1,492.70 / $1,971.90	Professional		$1,085.59	$1,492.70	$1,971.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.28 / $1,196.36 / $2,497.88	Professional		$897.28	$1,196.36	$2,497.88