Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $18,197.01	Facility		$3,090.30	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $7,244.36	Professional		$1,148.15	$1,412.54	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,548.13	Professional		$933.25	$1,513.56	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,248.07 / $18,197.01	Facility		$66.07	$5,248.07	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,570.40	Professional		$758.58	$1,096.48	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $3,311.31	Professional		$812.83	$1,548.82	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,380.38 / $1,862.09	Professional		$630.96	$1,380.38	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,691.53	Professional		$1,122.02	$1,513.56	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $26,915.35	Facility		$1,995.26	$1,995.26	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,481.54 / $11,481.54	Professional		$9,772.37	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,454.71	Facility		$977.24	$1,513.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,584.89 / $3,467.37	Professional		$776.25	$1,584.89	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,445.44	Professional		$794.33	$1,122.02	$1,445.44
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 $794.33 / $1,258.93 / $2,754.23	Professional		$794.33	$1,258.93	$2,754.23