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 / $1,122.02 / $5,888.44	Professional		$912.01	$1,122.02	$5,888.44
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 $1,148.15 / $1,584.89 / $2,951.21	Professional		$1,148.15	$1,584.89	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,964.78	Facility		$66.07	$4,168.69	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,884.03	Professional		$1,023.29	$1,479.11	$2,884.03
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 $1,000.00 / $1,288.25 / $2,630.27	Professional		$1,000.00	$1,288.25	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,584.89	Professional		$741.31	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,238.72	Professional		$933.25	$1,258.93	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,120.11 / $9,120.11	Professional		$7,762.47	$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 $1,047.13 / $1,348.96 / $2,041.74	Facility		$1,047.13	$1,348.96	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,691.53	Professional		$1,000.00	$1,348.96	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,584.89	Professional		$933.25	$1,096.48	$1,584.89
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 / $1,047.13 / $2,238.72	Professional		$794.33	$1,047.13	$2,238.72