Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.08 / $10,070.00 / $21,960.90	Facility		$1,784.08	$10,070.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.65 / $1,850.01 / $9,530.08	Professional		$1,572.65	$1,850.01	$9,530.08
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 $2,162.57 / $2,900.27 / $5,243.69	Professional		$2,162.57	$2,900.27	$5,243.69
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 $1,366.36 / $1,965.20 / $4,452.22	Professional		$1,366.36	$1,965.20	$4,452.22
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 $1,766.49 / $2,289.15 / $4,871.20	Professional		$1,766.49	$2,289.15	$4,871.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $1,059.19 / $2,557.23	Professional		$699.92	$1,059.19	$2,557.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,717.40 / $2,369.10 / $4,276.66	Professional		$1,717.40	$2,369.10	$4,276.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $16,341.75 / $19,807.38	Facility		$5,000.00	$16,341.75	$19,807.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,275.30 / $13,522.32 / $17,164.28	Professional		$13,275.30	$13,522.32	$17,164.28
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 $1,943.29 / $2,347.11 / $3,427.20	Facility		$1,943.29	$2,347.11	$3,427.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,772.28 / $2,374.64 / $4,923.97	Professional		$1,772.28	$2,374.64	$4,923.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,913.22 / $5,913.22 / $5,913.22	Professional		$5,913.22	$5,913.22	$5,913.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $909.90 / $1,500.52 / $2,263.71	Professional		$909.90	$1,500.52	$2,263.71
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 $1,519.51 / $1,975.33 / $4,555.41	Professional		$1,519.51	$1,975.33	$4,555.41