Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.91 / $1,652.54 / $10,101.40	Facility		$1,405.91	$1,652.54	$10,101.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.81 / $1,652.53 / $6,570.04	Professional		$1,334.81	$1,652.53	$6,570.04
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 $1,681.56 / $2,289.38 / $4,401.74	Professional		$1,681.56	$2,289.38	$4,401.74
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 $1,350.87 / $1,929.82 / $4,131.80	Professional		$1,350.87	$1,929.82	$4,131.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.55 / $1,324.90 / $2,368.75	Facility		$1,322.55	$1,324.90	$2,368.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.41 / $2,058.42 / $3,902.77	Professional		$1,549.41	$2,058.42	$3,902.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.72 / $1,865.49 / $2,331.86	Professional		$1,448.72	$1,865.49	$2,331.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.49 / $1,805.58 / $3,239.00	Professional		$1,284.49	$1,805.58	$3,239.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,903.87 / $6,389.32	Facility		$55.00	$5,903.87	$6,389.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,538.00 / $11,704.32 / $13,273.73	Professional		$9,538.00	$11,704.32	$13,273.73
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 $1,529.06 / $2,031.30 / $2,831.73	Facility		$1,529.06	$2,031.30	$2,831.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,572.80 / $2,184.48 / $3,950.71	Professional		$1,572.80	$2,184.48	$3,950.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,495.72 / $4,495.72 / $5,485.10	Professional		$4,495.72	$4,495.72	$5,485.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.21 / $1,810.69 / $3,816.61	Professional		$1,334.21	$1,810.69	$3,816.61