Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.62 / $10,321.00 / $21,960.90	Facility		$2,435.62	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,159.51 / $2,686.30 / $13,079.90	Professional		$2,159.51	$2,686.30	$13,079.90
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 $3,040.00 / $4,001.37 / $7,234.48	Professional		$3,040.00	$4,001.37	$7,234.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,925.77 / $2,777.37 / $6,238.02	Professional		$1,925.77	$2,777.37	$6,238.02
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 $2,465.12 / $3,150.03 / $6,689.78	Professional		$2,465.12	$3,150.03	$6,689.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,937.45 / $2,764.32 / $3,664.92	Professional		$1,937.45	$2,764.32	$3,664.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,361.63 / $3,208.48 / $5,986.33	Professional		$2,361.63	$3,208.48	$5,986.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $27,351.06 / $33,083.37	Facility		$5,000.00	$27,351.06	$33,083.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,267.18 / $18,467.84 / $23,516.40	Professional		$18,267.18	$18,467.84	$23,516.40
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 $2,669.71 / $3,220.32 / $4,447.93	Facility		$2,669.71	$3,220.32	$4,447.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,465.40 / $3,249.21 / $6,763.93	Professional		$2,465.40	$3,249.21	$6,763.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,115.84 / $8,115.84 / $8,115.84	Professional		$8,115.84	$8,115.84	$8,115.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,223.96 / $2,906.17 / $3,664.92	Professional		$2,223.96	$2,906.17	$3,664.92
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 $2,054.91 / $2,684.53 / $5,605.50	Professional		$2,054.91	$2,684.53	$5,605.50