Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,765.72 / $10,321.00 / $21,960.90	Facility		$2,765.72	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,457.59 / $3,042.54 / $14,830.40	Professional		$2,457.59	$3,042.54	$14,830.40
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 $3,391.80 / $4,518.41 / $8,235.16	Professional		$3,391.80	$4,518.41	$8,235.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,061.40 / $2,975.16 / $6,688.82	Professional		$2,061.40	$2,975.16	$6,688.82
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 $2,745.65 / $3,562.40 / $7,584.12	Professional		$2,745.65	$3,562.40	$7,584.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.69 / $3,107.85 / $3,958.59	Professional		$2,092.69	$3,107.85	$3,958.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,639.06 / $3,611.35 / $6,553.34	Professional		$2,639.06	$3,611.35	$6,553.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $39,398.80 / $47,606.44	Facility		$5,000.00	$39,398.80	$47,606.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,716.25 / $20,873.84 / $26,622.68	Professional		$20,716.25	$20,873.84	$26,622.68
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 $2,852.00 / $3,556.99 / $4,725.00	Facility		$2,852.00	$3,556.99	$4,725.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,745.65 / $3,672.26 / $7,664.87	Professional		$2,745.65	$3,672.26	$7,664.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,201.96 / $9,201.96 / $9,201.96	Professional		$9,201.96	$9,201.96	$9,201.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,499.98 / $3,139.05 / $3,958.59	Professional		$2,499.98	$3,139.05	$3,958.59
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 $2,321.73 / $3,095.64 / $7,095.49	Professional		$2,321.73	$3,095.64	$7,095.49