Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $9,772.37	Facility		$1,412.54	$1,659.59	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $6,025.60	Professional		$1,288.25	$1,698.24	$6,025.60
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 $1,737.80 / $2,691.53 / $4,677.35	Professional		$1,737.80	$2,691.53	$4,677.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $17,378.01	Facility		$66.07	$5,011.87	$17,378.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $4,466.84	Professional		$1,659.59	$2,398.83	$4,466.84
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 $1,513.56 / $2,041.74 / $3,801.89	Professional		$1,513.56	$2,041.74	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,454.71	Professional		$1,230.27	$1,659.59	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,019.95	Professional		$1,122.02	$1,698.24	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $13,182.57 / $13,182.57	Professional		$11,748.98	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Professional		$1,348.96	$1,348.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,090.30	Facility		$1,348.96	$2,089.30	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,890.45	Professional		$1,513.56	$2,137.96	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,495.41	Professional		$4,466.84	$4,466.84	$5,495.41
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 $1,148.15 / $1,698.24 / $3,162.28	Professional		$1,148.15	$1,698.24	$3,162.28