Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $9,772.37	Facility		$1,318.26	$1,621.81	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $6,456.54	Professional		$1,174.90	$1,584.89	$6,456.54
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 $1,621.81 / $2,454.71 / $4,265.80	Professional		$1,621.81	$2,454.71	$4,265.80
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 $1,513.56 / $2,290.87 / $4,265.80	Professional		$1,513.56	$2,290.87	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,630.78	Professional		$1,412.54	$1,995.26	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,454.71	Professional		$1,174.90	$1,584.89	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,019.95	Professional		$1,071.52	$1,698.24	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,413.10	Facility		$54.95	$56.23	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $13,182.57 / $13,182.57	Professional		$11,481.54	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,187.76	Professional		$1,318.26	$1,318.26	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,019.95	Facility		$1,258.93	$1,995.26	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,630.78	Professional		$1,412.54	$2,041.74	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,370.32	Professional		$4,168.69	$4,168.69	$5,370.32
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 $1,096.48 / $1,621.81 / $3,019.95	Professional		$1,096.48	$1,621.81	$3,019.95