Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,838.67 / $10,321.00 / $21,960.90	Facility		$2,838.67	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,519.31 / $2,951.08 / $15,165.30	Professional		$2,519.31	$2,951.08	$15,165.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $11,289.00 / $26,404.93	Facility		$4,662.00	$11,289.00	$26,404.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,135.00 / $4,634.30 / $8,446.37	Professional		$3,135.00	$4,634.30	$8,446.37
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 $2,189.00 / $3,154.21 / $7,120.97	Professional		$2,189.00	$3,154.21	$7,120.97
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 $2,840.57 / $3,642.84 / $7,778.29	Professional		$2,840.57	$3,642.84	$7,778.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.75 / $3,183.22 / $4,140.29	Professional		$2,188.75	$3,183.22	$4,140.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,728.79 / $3,697.75 / $6,706.63	Professional		$2,728.79	$3,697.75	$6,706.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $40,278.14 / $48,684.86	Facility		$5,000.00	$40,278.14	$48,684.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,180.42 / $21,348.72 / $27,213.45	Professional		$21,180.42	$21,348.72	$27,213.45
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 $2,891.62 / $3,638.39 / $4,851.18	Facility		$2,891.62	$3,638.39	$4,851.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,849.16 / $3,749.77 / $7,795.31	Professional		$2,849.16	$3,749.77	$7,795.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,409.81 / $9,409.81 / $9,409.81	Professional		$9,409.81	$9,409.81	$9,409.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,560.73 / $3,283.13 / $4,140.29	Professional		$2,560.73	$3,283.13	$4,140.29
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 $2,412.37 / $3,112.06 / $6,455.57	Professional		$2,412.37	$3,112.06	$6,455.57