Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.25 / $10,321.00 / $21,960.90	Facility		$2,031.25	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,799.68 / $2,249.59 / $11,041.00	Professional		$1,799.68	$2,249.59	$11,041.00
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 $2,379.67 / $3,279.34 / $6,034.29	Professional		$2,379.67	$3,279.34	$6,034.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.90 / $2,065.57 / $4,722.89	Professional		$1,445.90	$2,065.57	$4,722.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.88 / $2,603.10 / $5,517.47	Professional		$1,985.88	$2,603.10	$5,517.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.10 / $2,223.17 / $2,842.39	Professional		$1,469.10	$2,223.17	$2,842.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,908.41 / $2,633.50 / $4,766.00	Professional		$1,908.41	$2,633.50	$4,766.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $32,168.80 / $40,711.36	Facility		$5,000.00	$32,168.80	$40,711.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,012.54 / $15,628.72 / $18,891.83	Professional		$15,012.54	$15,628.72	$18,891.83
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 $2,077.17 / $2,560.46 / $3,646.70	Facility		$2,077.17	$2,560.46	$3,646.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,985.88 / $2,680.94 / $5,686.81	Professional		$1,985.88	$2,680.94	$5,686.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,850.71 / $6,850.71 / $6,850.71	Professional		$6,850.71	$6,850.71	$6,850.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,830.57 / $2,203.64 / $2,778.97	Professional		$1,830.57	$2,203.64	$2,778.97
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 $1,720.18 / $2,232.07 / $4,587.10	Professional		$1,720.18	$2,232.07	$4,587.10