Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $21,379.62	Facility		$4,073.80	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $5,888.44	Professional		$977.24	$1,202.26	$5,888.44
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 $1,258.93 / $1,659.59 / $3,235.94	Professional		$1,258.93	$1,659.59	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $16,595.87	Facility		$66.07	$5,495.41	$16,595.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,090.30	Professional		$1,122.02	$1,621.81	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,818.38	Professional		$1,047.13	$1,348.96	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,548.82	Professional		$870.96	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,187.76	Professional		$933.25	$1,230.27	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $51,286.14	Facility		$42,657.95	$42,657.95	$51,286.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $9,332.54	Professional		$7,943.28	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,187.76	Facility		$1,071.52	$1,380.38	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,818.38	Professional		$1,023.29	$1,380.38	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,905.46	Professional		$933.25	$1,258.93	$1,905.46
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 $851.14 / $1,148.15 / $2,344.23	Professional		$851.14	$1,148.15	$2,344.23