Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $22,387.21	Facility		$2,290.87	$2,290.87	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $19,498.45	Professional		$1,659.59	$2,290.87	$19,498.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $10,000.00	Facility		$1,737.80	$2,238.72	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,623.41	Professional		$2,344.23	$2,344.23	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $8,912.51 / $12,022.64	Facility		$100.00	$8,912.51	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $9,549.93 / $16,595.87	Professional		$4,897.79	$9,549.93	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,311.31	Professional		$2,398.83	$2,398.83	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $6,309.57	Professional		$2,754.23	$3,388.44	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $8,128.31	Professional		$3,090.30	$4,677.35	$8,128.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,466.84 / $6,456.54	Facility		$1,230.27	$4,466.84	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,011.87	Professional		$2,398.83	$2,398.83	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $4,677.35	Professional		$2,754.23	$4,073.80	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,511.89 / $5,248.07	Facility		$316.23	$2,511.89	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $5,128.61	Professional		$1,778.28	$2,290.87	$5,128.61