Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.12 / $10,321.00 / $21,960.90	Facility		$2,291.12	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,035.07 / $2,415.57 / $12,510.00	Professional		$2,035.07	$2,415.57	$12,510.00
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 $2,744.10 / $3,711.89 / $6,835.40	Professional		$2,744.10	$3,711.89	$6,835.40
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 $1,677.03 / $2,395.76 / $5,478.42	Professional		$1,677.03	$2,395.76	$5,478.42
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 $2,261.21 / $2,983.74 / $6,366.48	Professional		$2,261.21	$2,983.74	$6,366.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.54 / $2,648.69 / $3,413.51	Professional		$1,804.54	$2,648.69	$3,413.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.88 / $3,073.32 / $5,563.80	Professional		$2,259.88	$3,073.32	$5,563.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $38,048.64 / $46,046.72	Facility		$5,000.00	$38,048.64	$46,046.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,467.80 / $17,672.88 / $22,487.70	Professional		$17,467.80	$17,672.88	$22,487.70
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 $2,332.80 / $3,013.18 / $4,237.89	Facility		$2,332.80	$3,013.18	$4,237.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,261.21 / $3,068.70 / $6,435.52	Professional		$2,261.21	$3,068.70	$6,435.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,762.18 / $7,762.18 / $7,762.18	Professional		$7,762.18	$7,762.18	$7,762.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,131.02 / $2,706.81 / $3,413.50	Professional		$2,131.02	$2,706.81	$3,413.50
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 $1,952.11 / $2,530.51 / $5,285.95	Professional		$1,952.11	$2,530.51	$5,285.95