Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $6,025.60	Professional		$1,023.29	$1,288.25	$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 $1,096.48 / $1,584.89 / $3,311.31	Professional		$1,096.48	$1,584.89	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $8,511.38	Facility		$66.07	$3,548.13	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,951.21	Professional		$1,023.29	$1,445.44	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,884.03	Professional		$1,047.13	$1,445.44	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,348.96 / $1,819.70	Professional		$446.68	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,630.27	Professional		$1,096.48	$1,479.11	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $28,840.32	Facility		$9,549.93	$9,549.93	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $10,964.78	Professional		$8,511.38	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,344.23	Facility		$1,071.52	$1,479.11	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,090.30	Professional		$1,023.29	$1,445.44	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,230.27	Professional		$562.34	$794.33	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,454.71	Professional		$912.01	$1,202.26	$2,454.71