Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.45 / $10,321.00 / $21,960.90	Facility		$1,945.45	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.10 / $2,114.54 / $10,397.50	Professional		$1,720.10	$2,114.54	$10,397.50
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 $2,318.30 / $3,178.45 / $5,746.63	Professional		$2,318.30	$3,178.45	$5,746.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,453.94 / $2,091.40 / $4,736.00	Professional		$1,453.94	$2,091.40	$4,736.00
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 $1,924.00 / $2,497.53 / $5,311.97	Professional		$1,924.00	$2,497.53	$5,311.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.53 / $2,210.21 / $2,765.66	Professional		$1,460.53	$2,210.21	$2,765.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.23 / $2,565.48 / $4,639.35	Professional		$1,863.23	$2,565.48	$4,639.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $21,765.04 / $26,354.57	Facility		$5,000.00	$21,765.04	$26,354.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,500.80 / $14,715.60 / $18,709.28	Professional		$14,500.80	$14,715.60	$18,709.28
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 $2,091.64 / $2,547.96 / $3,555.90	Facility		$2,091.64	$2,547.96	$3,555.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $2,574.69 / $5,364.68	Professional		$1,924.00	$2,574.69	$5,364.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,451.45 / $6,451.45 / $6,451.45	Professional		$6,451.45	$6,451.45	$6,451.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,780.25 / $2,190.80 / $2,762.77	Professional		$1,780.25	$2,190.80	$2,762.77
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 $1,627.99 / $2,127.10 / $4,461.33	Professional		$1,627.99	$2,127.10	$4,461.33