Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,566.84 / $10,321.00 / $21,960.90	Facility		$2,566.84	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,275.75 / $2,766.51 / $13,721.20	Professional		$2,275.75	$2,766.51	$13,721.20
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 $2,975.61 / $4,181.18 / $7,620.53	Professional		$2,975.61	$4,181.18	$7,620.53
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 $1,960.01 / $2,822.05 / $6,378.79	Professional		$1,960.01	$2,822.05	$6,378.79
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 $2,558.94 / $3,295.94 / $7,024.48	Professional		$2,558.94	$3,295.94	$7,024.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.38 / $2,893.01 / $3,748.02	Professional		$1,981.38	$2,893.01	$3,748.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,474.34 / $3,358.78 / $6,086.34	Professional		$2,474.34	$3,358.78	$6,086.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $23,456.88 / $28,369.80	Facility		$5,000.00	$23,456.88	$28,369.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,167.00 / $19,353.91 / $24,650.40	Professional		$19,167.00	$19,353.91	$24,650.40
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 $2,782.35 / $3,358.78 / $4,654.55	Facility		$2,782.35	$3,358.78	$4,654.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,571.96 / $3,408.73 / $7,094.15	Professional		$2,571.96	$3,408.73	$7,094.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,513.79 / $8,513.79 / $8,513.79	Professional		$8,513.79	$8,513.79	$8,513.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,327.42 / $2,972.07 / $3,748.02	Professional		$2,327.42	$2,972.07	$3,748.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,699.00 / $17,861.00 / $42,098.00	Facility		$8,699.00	$17,861.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,173.79 / $2,853.20 / $5,841.23	Professional		$2,173.79	$2,853.20	$5,841.23