Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $23,988.33	Facility		$2,511.89	$2,511.89	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $21,379.62	Professional		$1,819.70	$2,511.89	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $10,964.78	Facility		$1,905.46	$2,398.83	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $6,165.95	Professional		$2,570.40	$2,570.40	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,000.00 / $13,182.57	Facility		$100.00	$10,000.00	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $10,471.29 / $17,782.79	Professional		$5,370.32	$10,471.29	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Facility		$2,570.40	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,019.95	Professional		$2,187.76	$2,187.76	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $6,760.83	Professional		$1,659.59	$2,089.30	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $8,912.51	Professional		$3,388.44	$5,128.61	$8,912.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $38,018.94 / $38,018.94	Professional		$27,542.29	$38,018.94	$38,018.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $6,760.83	Facility		$1,737.80	$4,786.30	$6,760.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,570.88	Professional		$2,187.76	$2,187.76	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $5,128.61	Professional		$1,659.59	$2,511.89	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,754.23 / $5,623.41	Facility		$346.74	$2,754.23	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,623.41	Professional		$1,949.84	$2,511.89	$5,623.41