Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $16,982.44	Facility		$2,511.89	$6,760.83	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $5,248.07	Professional		$933.25	$1,122.02	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,235.94	Professional		$1,000.00	$1,548.82	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,884.03	Professional		$1,047.13	$1,513.56	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,818.38	Professional		$1,000.00	$1,348.96	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,071.52 / $1,445.44	Professional		$416.87	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,238.72	Professional		$851.14	$1,122.02	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $28,840.32	Facility		$16,595.87	$16,595.87	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,137.96	Facility		$977.24	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,630.27	Professional		$977.24	$1,380.38	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $977.24	Professional		$524.81	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,290.87	Professional		$812.83	$1,122.02	$2,290.87