Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $14,125.38 / $25,703.96	Facility		$5,754.40	$14,125.38	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $25,703.96	Professional		$2,570.40	$3,311.31	$25,703.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $9,120.11 / $19,498.45	Facility		$1,778.28	$9,120.11	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $10,232.93	Professional		$3,890.45	$4,786.30	$10,232.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $9,120.11 / $37,153.52	Facility		$69.18	$9,120.11	$37,153.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $7,762.47	Professional		$2,290.87	$3,019.95	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $13,182.57	Facility		$2,630.27	$6,760.83	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $10,715.19	Professional		$1,995.26	$2,630.27	$10,715.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,248.07	Professional		$3,090.30	$3,890.45	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $6,760.83	Professional		$3,467.37	$4,265.80	$6,760.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $11,481.54	Facility		$3,090.30	$4,677.35	$11,481.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $8,912.51	Professional		$2,041.74	$4,073.80	$8,912.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $46,773.51	Professional		$3,090.30	$3,890.45	$46,773.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $3,890.45	Facility		$1,621.81	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $7,413.10	Professional		$1,621.81	$1,621.81	$7,413.10