Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.62 / $1,649.02 / $10,101.40	Facility		$1,400.62	$1,649.02	$10,101.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.40 / $1,599.87 / $7,245.55	Professional		$1,260.40	$1,599.87	$7,245.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.56 / $2,318.54 / $4,398.21	Professional		$1,681.56	$2,318.54	$4,398.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $16,022.33	Facility		$65.80	$100.00	$16,022.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,349.92 / $1,928.45 / $4,129.56	Professional		$1,349.92	$1,928.45	$4,129.56
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 $1,559.38 / $2,059.02 / $3,893.32	Professional		$1,559.38	$2,059.02	$3,893.32
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 $1,296.64 / $1,810.90 / $3,129.00	Professional		$1,296.64	$1,810.90	$3,129.00
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 / $11,734.30 / $13,273.73	Professional		$9,538.00	$11,734.30	$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 / $2,026.00 / $2,814.18	Facility		$1,529.06	$2,026.00	$2,814.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,582.47 / $2,174.12 / $3,947.14	Professional		$1,582.47	$2,174.12	$3,947.14
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 $1,333.51 / $1,788.60 / $3,718.95	Professional		$1,333.51	$1,788.60	$3,718.95