Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,835.84 / $10,321.00 / $21,960.90	Facility		$2,835.84	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,517.10 / $2,961.73 / $15,161.60	Professional		$2,517.10	$2,961.73	$15,161.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.14 / $11,289.00 / $26,404.93	Facility		$4,499.14	$11,289.00	$26,404.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,315.15 / $4,629.83 / $8,438.25	Professional		$3,315.15	$4,629.83	$8,438.25
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 $2,178.71 / $3,143.41 / $7,083.86	Professional		$2,178.71	$3,143.41	$7,083.86
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 $2,835.00 / $3,641.93 / $7,753.99	Professional		$2,835.00	$3,641.93	$7,753.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.42 / $3,182.87 / $4,296.87	Professional		$2,319.42	$3,182.87	$4,296.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,728.49 / $3,697.34 / $6,705.89	Professional		$2,728.49	$3,697.34	$6,705.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $40,273.80 / $48,679.40	Facility		$5,000.00	$40,273.80	$48,679.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,178.20 / $21,346.08 / $27,210.83	Professional		$21,178.20	$21,346.08	$27,210.83
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 $3,014.13 / $3,655.00 / $5,116.34	Facility		$3,014.13	$3,655.00	$5,116.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,845.36 / $3,761.18 / $7,807.38	Professional		$2,845.36	$3,761.18	$7,807.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,407.45 / $9,407.45 / $9,407.45	Professional		$9,407.45	$9,407.45	$9,407.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,560.44 / $3,479.14 / $4,387.47	Professional		$2,560.44	$3,479.14	$4,387.47
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 $2,402.61 / $3,163.33 / $6,453.98	Professional		$2,402.61	$3,163.33	$6,453.98