Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.40 / $1,405.18 / $8,690.10	Facility		$1,106.40	$1,405.18	$8,690.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.80 / $1,322.90 / $5,819.68	Professional		$1,010.80	$1,322.90	$5,819.68
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 $1,354.94 / $1,800.31 / $3,461.42	Professional		$1,354.94	$1,800.31	$3,461.42
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 $1,155.50 / $1,650.72 / $3,423.10	Professional		$1,155.50	$1,650.72	$3,423.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,310.50 / $1,312.82 / $2,347.16	Facility		$1,310.50	$1,312.82	$2,347.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.38 / $1,720.46 / $3,286.49	Professional		$1,245.38	$1,720.46	$3,286.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.72 / $1,592.62 / $2,064.44	Professional		$1,179.72	$1,592.62	$2,064.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.05 / $1,520.30 / $2,677.06	Professional		$1,051.05	$1,520.30	$2,677.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,762.46 / $5,178.93	Facility		$55.00	$4,762.46	$5,178.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,686.88 / $10,139.52 / $11,553.60	Professional		$7,686.88	$10,139.52	$11,553.60
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 $1,237.55 / $1,693.89 / $2,394.76	Facility		$1,237.55	$1,693.89	$2,394.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,270.76 / $1,808.57 / $3,388.14	Professional		$1,270.76	$1,808.57	$3,388.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,611.01 / $3,611.01 / $4,671.31	Professional		$3,611.01	$3,611.01	$4,671.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,377.00 / $24,889.00	Facility		$6,437.00	$11,377.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.33 / $1,502.47 / $3,177.03	Professional		$1,091.33	$1,502.47	$3,177.03