Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.35 / $10,321.00 / $21,960.90	Facility		$2,238.35	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,984.59 / $2,323.92 / $12,035.40	Professional		$1,984.59	$2,323.92	$12,035.40
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 $2,698.79 / $3,556.86 / $6,575.76	Professional		$2,698.79	$3,556.86	$6,575.76
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 $1,592.24 / $2,280.78 / $5,220.43	Professional		$1,592.24	$2,280.78	$5,220.43
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 $2,099.21 / $2,806.51 / $5,997.86	Professional		$2,099.21	$2,806.51	$5,997.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.03 / $2,545.96 / $3,253.64	Professional		$1,720.03	$2,545.96	$3,253.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,169.09 / $2,954.71 / $5,350.86	Professional		$2,169.09	$2,954.71	$5,350.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $20,597.58 / $24,915.15	Facility		$5,000.00	$20,597.58	$24,915.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,614.56 / $16,999.52 / $21,644.93	Professional		$16,614.56	$16,999.52	$21,644.93
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 $2,261.14 / $2,897.41 / $4,073.54	Facility		$2,261.14	$2,897.41	$4,073.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,142.91 / $2,922.93 / $6,191.03	Professional		$2,142.91	$2,922.93	$6,191.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,467.72 / $7,467.72 / $7,467.72	Professional		$7,467.72	$7,467.72	$7,467.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,048.31 / $2,580.04 / $3,253.64	Professional		$2,048.31	$2,580.04	$3,253.64
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 $1,816.52 / $2,435.30 / $5,123.72	Professional		$1,816.52	$2,435.30	$5,123.72