Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $8,709.64	Facility		$1,096.48	$1,412.54	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $5,495.41	Professional		$1,000.00	$1,380.38	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,715.35	Professional		$1,380.38	$2,089.30	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $17,378.01	Facility		$66.07	$5,128.61	$17,378.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,715.35	Professional		$1,288.25	$1,949.84	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,090.30	Professional		$1,230.27	$1,737.80	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,137.96	Professional		$1,023.29	$1,380.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,691.53	Professional		$912.01	$1,479.11	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,481.54 / $11,481.54	Professional		$10,232.93	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,949.84	Professional		$1,148.15	$1,148.15	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,630.27	Facility		$1,096.48	$1,737.80	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,090.30	Professional		$1,230.27	$1,778.28	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,677.35	Professional		$3,630.78	$3,630.78	$4,677.35
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 $954.99 / $1,380.38 / $2,630.27	Professional		$954.99	$1,380.38	$2,630.27