Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.50 / $9,674.00 / $21,960.90	Facility		$1,244.50	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.33 / $1,244.50 / $6,492.23	Professional		$1,055.33	$1,244.50	$6,492.23
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 $1,641.80 / $2,034.21 / $3,640.22	Professional		$1,641.80	$2,034.21	$3,640.22
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 $926.70 / $1,323.85 / $3,024.84	Professional		$926.70	$1,323.85	$3,024.84
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 $1,227.07 / $1,558.85 / $3,365.83	Professional		$1,227.07	$1,558.85	$3,365.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.32 / $1,404.72 / $1,896.37	Professional		$1,041.32	$1,404.72	$1,896.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.56 / $1,592.45 / $2,943.09	Professional		$1,146.56	$1,592.45	$2,943.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $16,222.36 / $20,249.18	Facility		$5,000.00	$16,222.36	$20,249.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,130.10 / $11,130.10 / $11,130.10	Professional		$11,130.10	$11,130.10	$11,130.10
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 $1,298.69 / $1,598.43 / $2,458.64	Facility		$1,298.69	$1,598.43	$2,458.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $1,617.07 / $3,303.78	Professional		$1,227.07	$1,617.07	$3,303.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,028.30 / $4,028.30 / $4,028.30	Professional		$4,028.30	$4,028.30	$4,028.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,133.32 / $1,558.32 / $1,969.79	Professional		$1,133.32	$1,558.32	$1,969.79
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.47 / $1,302.71 / $3,014.79	Professional		$988.47	$1,302.71	$3,014.79