Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.60 / $1,640.86 / $9,920.95	Facility		$1,314.60	$1,640.86	$9,920.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.50 / $1,541.19 / $6,732.46	Professional		$1,174.50	$1,541.19	$6,732.46
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 $1,567.55 / $2,131.39 / $4,097.93	Professional		$1,567.55	$2,131.39	$4,097.93
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 $1,340.58 / $1,915.12 / $4,016.73	Professional		$1,340.58	$1,915.12	$4,016.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.77 / $1,462.35 / $2,614.51	Facility		$1,459.77	$1,462.35	$2,614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.32 / $1,960.54 / $3,770.41	Professional		$1,432.32	$1,960.54	$3,770.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,837.08 / $2,345.90	Professional		$1,360.80	$1,837.08	$2,345.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.14 / $1,754.76 / $3,049.00	Professional		$1,214.14	$1,754.76	$3,049.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,504.24 / $5,979.63	Facility		$55.00	$5,504.24	$5,979.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,886.79 / $11,568.56 / $13,168.20	Professional		$8,886.79	$11,568.56	$13,168.20
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 $1,429.39 / $1,949.01 / $2,722.11	Facility		$1,429.39	$1,949.01	$2,722.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,451.42 / $2,083.90 / $3,873.07	Professional		$1,451.42	$2,083.90	$3,873.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,177.38 / $4,177.38 / $5,343.47	Professional		$4,177.38	$4,177.38	$5,343.47
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.57 / $1,757.09 / $3,671.66	Professional		$1,295.57	$1,757.09	$3,671.66