Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.17 / $10,321.00 / $21,960.90	Facility		$2,102.17	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.20 / $2,374.94 / $12,294.80	Professional		$1,886.20	$2,374.94	$12,294.80
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 $2,755.42 / $3,746.62 / $6,828.52	Professional		$2,755.42	$3,746.62	$6,828.52
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 $1,725.77 / $2,491.89 / $5,600.79	Professional		$1,725.77	$2,491.89	$5,600.79
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 $2,105.03 / $2,774.98 / $6,131.54	Professional		$2,105.03	$2,774.98	$6,131.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.89 / $2,605.06 / $3,353.64	Professional		$1,772.89	$2,605.06	$3,353.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,221.94 / $3,022.44 / $5,470.98	Professional		$2,221.94	$3,022.44	$5,470.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $37,405.28 / $45,252.64	Facility		$5,000.00	$37,405.28	$45,252.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,978.72 / $17,369.36 / $22,108.80	Professional		$16,978.72	$17,369.36	$22,108.80
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 $2,304.00 / $2,929.31 / $4,168.10	Facility		$2,304.00	$2,929.31	$4,168.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,119.77 / $2,929.01 / $6,204.25	Professional		$2,119.77	$2,929.01	$6,204.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,628.71 / $7,628.71 / $7,628.71	Professional		$7,628.71	$7,628.71	$7,628.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,095.94 / $2,659.34 / $3,353.64	Professional		$2,095.94	$2,659.34	$3,353.64
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 $1,887.48 / $2,486.76 / $5,269.56	Professional		$1,887.48	$2,486.76	$5,269.56