Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.68 / $1,731.85 / $10,624.30	Facility		$1,425.68	$1,731.85	$10,624.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.72 / $1,630.05 / $7,445.90	Professional		$1,303.72	$1,630.05	$7,445.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.87 / $2,322.78 / $4,465.93	Professional		$1,730.87	$2,322.78	$4,465.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $15,838.91	Facility		$65.80	$100.00	$15,838.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,442.64 / $2,060.92 / $4,387.13	Professional		$1,442.64	$2,060.92	$4,387.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,483.90 / $1,486.53 / $2,657.74	Facility		$1,483.90	$1,486.53	$2,657.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.35 / $2,151.87 / $4,041.11	Professional		$1,566.35	$2,151.87	$4,041.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.34 / $1,988.84 / $2,486.05	Professional		$1,496.34	$1,988.84	$2,486.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.02 / $1,873.23 / $3,439.22	Professional		$1,338.02	$1,873.23	$3,439.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,070.38 / $6,584.59	Facility		$55.00	$6,070.38	$6,584.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,800.64 / $12,360.72 / $14,050.73	Professional		$9,800.64	$12,360.72	$14,050.73
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 $1,574.57 / $2,115.50 / $2,970.42	Facility		$1,574.57	$2,115.50	$2,970.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.24 / $2,249.77 / $4,159.85	Professional		$1,621.24	$2,249.77	$4,159.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,620.04 / $4,620.04 / $5,745.25	Professional		$4,620.04	$4,620.04	$5,745.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.53 / $1,874.43 / $4,168.64	Professional		$1,395.53	$1,874.43	$4,168.64