Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.06 / $10,321.00 / $21,960.90	Facility		$2,198.06	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.79 / $2,361.25 / $11,756.30	Professional		$1,944.79	$2,361.25	$11,756.30
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 $2,652.78 / $3,565.40 / $6,498.24	Professional		$2,652.78	$3,565.40	$6,498.24
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 $1,617.23 / $2,315.01 / $5,270.72	Professional		$1,617.23	$2,315.01	$5,270.72
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 $2,177.63 / $2,822.51 / $6,002.77	Professional		$2,177.63	$2,822.51	$6,002.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.06 / $2,496.77 / $3,212.09	Professional		$1,698.06	$2,496.77	$3,212.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,126.66 / $2,895.86 / $5,239.06	Professional		$2,126.66	$2,895.86	$5,239.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $24,599.19 / $29,772.71	Facility		$5,000.00	$24,599.19	$29,772.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,414.74 / $16,623.59 / $21,145.50	Professional		$16,414.74	$16,623.59	$21,145.50
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 $2,224.00 / $2,835.54 / $3,994.83	Facility		$2,224.00	$2,835.54	$3,994.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,177.63 / $2,906.01 / $6,061.32	Professional		$2,177.63	$2,906.01	$6,061.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,294.57 / $7,294.57 / $7,294.57	Professional		$7,294.57	$7,294.57	$7,294.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,008.90 / $2,547.09 / $3,212.08	Professional		$2,008.90	$2,547.09	$3,212.08
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 $1,837.59 / $2,438.75 / $5,389.54	Professional		$1,837.59	$2,438.75	$5,389.54