Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $5,754.40	Professional		$954.99	$1,148.15	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,162.28	Professional		$1,202.26	$1,659.59	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $13,489.63	Facility		$66.07	$4,786.30	$13,489.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,951.21	Professional		$1,071.52	$1,548.82	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $13,182.57	Facility		$12,882.50	$12,882.50	$13,182.57
Cigna 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
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $1,513.56	Professional		$588.84	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,137.96	Professional		$912.01	$1,202.26	$2,137.96
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 $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,089.30	Facility		$1,023.29	$1,348.96	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,754.23	Professional		$977.24	$1,380.38	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,258.93	Professional		$741.31	$1,000.00	$1,258.93
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 $831.76 / $1,096.48 / $2,290.87	Professional		$831.76	$1,096.48	$2,290.87