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 $1,148.15 / $1,380.38 / $6,918.31	Professional		$1,148.15	$1,380.38	$6,918.31
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 $1,445.44 / $1,819.70 / $3,715.35	Professional		$1,445.44	$1,819.70	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,370.32 / $22,387.21	Facility		$66.07	$5,370.32	$22,387.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,311.31	Professional		$1,148.15	$1,621.81	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,311.31	Professional		$1,202.26	$1,584.89	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,819.70	Professional		$851.14	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,630.27	Professional		$1,096.48	$1,445.44	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $38,018.94	Facility		$33,884.42	$33,884.42	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,964.78 / $10,964.78	Professional		$9,332.54	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,511.89	Facility		$1,230.27	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,819.70	Professional		$1,071.52	$1,258.93	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,754.23	Professional		$1,000.00	$1,318.26	$2,754.23