Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,601.27 / $10,321.00 / $21,960.90	Facility		$2,601.27	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,307.91 / $2,909.10 / $13,955.70	Professional		$2,307.91	$2,909.10	$13,955.70
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 $3,128.20 / $4,264.00 / $7,751.05	Professional		$3,128.20	$4,264.00	$7,751.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,984.51 / $2,855.86 / $6,457.77	Professional		$1,984.51	$2,855.86	$6,457.77
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 $2,584.67 / $3,352.24 / $7,138.13	Professional		$2,584.67	$3,352.24	$7,138.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.23 / $2,940.04 / $3,787.46	Professional		$2,002.23	$2,940.04	$3,787.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,515.69 / $3,413.74 / $6,187.04	Professional		$2,515.69	$3,413.74	$6,187.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $29,154.07 / $35,255.22	Facility		$5,000.00	$29,154.07	$35,255.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,493.34 / $19,678.08 / $25,067.93	Professional		$19,493.34	$19,678.08	$25,067.93
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 $2,649.58 / $3,374.75 / $4,725.79	Facility		$2,649.58	$3,374.75	$4,725.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,586.96 / $3,459.67 / $7,188.31	Professional		$2,586.96	$3,459.67	$7,188.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,659.21 / $8,659.21 / $8,659.21	Professional		$8,659.21	$8,659.21	$8,659.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,365.21 / $3,003.34 / $3,787.46	Professional		$2,365.21	$3,003.34	$3,787.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,181.07 / $2,859.51 / $5,940.85	Professional		$2,181.07	$2,859.51	$5,940.85