Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $5,495.41	Professional		$912.01	$1,148.15	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,884.03	Professional		$1,096.48	$1,380.38	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,709.64	Facility		$66.07	$2,511.89	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,454.71	Professional		$831.76	$1,174.90	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,570.40	Professional		$851.14	$1,230.27	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,698.24	Professional		$1,071.52	$1,174.90	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $45,708.82	Facility		$8,128.31	$8,128.31	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $8,912.51	Professional		$7,413.10	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Facility		$954.99	$1,258.93	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,630.27	Professional		$851.14	$1,258.93	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,202.26	Professional		$870.96	$977.24	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,137.96	Professional		$758.58	$1,023.29	$2,137.96