Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $6,165.95	Professional		$1,000.00	$1,258.93	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,388.44	Professional		$1,318.26	$1,778.28	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,309.57 / $18,197.01	Facility		$66.07	$6,309.57	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,090.30	Professional		$1,096.48	$1,584.89	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$1,412.54	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,621.81	Professional		$870.96	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,630.27	Professional		$954.99	$1,288.25	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $9,549.93 / $9,549.93	Professional		$8,709.64	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,187.76	Facility		$1,096.48	$1,445.44	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$1,412.54	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
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 $870.96 / $1,148.15 / $2,398.83	Professional		$870.96	$1,148.15	$2,398.83