Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.02 / $9,690.00 / $22,788.00	Facility		$1,488.02	$9,690.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.73 / $1,663.21 / $5,629.85	Professional		$1,311.73	$1,663.21	$5,629.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,222.00 / $26,030.80	Facility		$4,314.00	$11,222.00	$26,030.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,973.48 / $2,409.05 / $4,378.24	Professional		$1,973.48	$2,409.05	$4,378.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.76 / $1,604.18 / $3,655.49	Professional		$1,122.76	$1,604.18	$3,655.49
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 $1,475.41 / $1,917.17 / $4,084.32	Professional		$1,475.41	$1,917.17	$4,084.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.36 / $1,696.96 / $2,155.40	Professional		$1,121.36	$1,696.96	$2,155.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.33 / $1,995.20 / $3,598.52	Professional		$1,454.33	$1,995.20	$3,598.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $13,707.99 / $16,623.27	Facility		$5,000.00	$13,707.99	$16,623.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,107.68 / $11,352.24 / $14,395.95	Professional		$11,107.68	$11,352.24	$14,395.95
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 $1,619.67 / $1,973.52 / $2,876.40	Facility		$1,619.67	$1,973.52	$2,876.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,475.41 / $1,990.01 / $4,129.87	Professional		$1,475.41	$1,990.01	$4,129.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,955.46 / $4,955.46 / $4,955.46	Professional		$4,955.46	$4,955.46	$4,955.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,387.78 / $1,682.05 / $2,121.19	Professional		$1,387.78	$1,682.05	$2,121.19
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 $1,239.57 / $1,641.14 / $3,636.89	Professional		$1,239.57	$1,641.14	$3,636.89