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 $812.83 / $1,023.29 / $5,011.87	Professional		$812.83	$1,023.29	$5,011.87
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 $1,047.13 / $1,513.56 / $2,818.38	Professional		$1,047.13	$1,513.56	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,748.98	Facility		$66.07	$4,168.69	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,090.30	Professional		$1,202.26	$1,659.59	$3,090.30
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 $912.01 / $1,258.93 / $2,398.83	Professional		$912.01	$1,258.93	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,737.80	Professional		$977.24	$1,148.15	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,905.46	Professional		$794.33	$1,071.52	$1,905.46
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 $7,413.10 / $7,943.28 / $7,943.28	Professional		$7,413.10	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,862.09	Facility		$912.01	$1,230.27	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,398.83	Professional		$912.01	$1,288.25	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,621.81 / $2,454.71	Professional		$870.96	$1,621.81	$2,454.71
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 $707.95 / $977.24 / $1,949.84	Professional		$707.95	$977.24	$1,949.84