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 $1,174.90 / $1,479.11 / $7,585.78	Professional		$1,174.90	$1,479.11	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $3,801.89	Professional		$1,122.02	$1,819.70	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,801.89	Professional		$1,348.96	$1,949.84	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,467.37	Professional		$1,318.26	$1,659.59	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $2,089.30	Professional		$758.58	$1,548.82	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,630.78	Professional		$1,230.27	$1,621.81	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,748.98 / $11,748.98	Professional		$10,232.93	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,818.38	Facility		$1,348.96	$1,737.80	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,548.13	Professional		$1,288.25	$1,698.24	$3,548.13
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 $954.99 / $1,288.25 / $1,737.80	Professional		$954.99	$1,288.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,951.21	Professional		$1,023.29	$1,348.96	$2,951.21