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 $870.96 / $1,122.02 / $5,370.32	Professional		$870.96	$1,122.02	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $26,302.68	Facility		$8,511.38	$13,803.84	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,884.03	Professional		$1,122.02	$1,479.11	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $13,182.57	Facility		$66.07	$5,128.61	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,511.89	Professional		$851.14	$1,202.26	$2,511.89
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 / $1,202.26 / $2,511.89	Professional		$912.01	$1,202.26	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,380.38	Professional		$741.31	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,344.23	Professional		$831.76	$1,122.02	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,511.38 / $8,511.38	Professional		$7,079.46	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,995.26	Facility		$933.25	$1,202.26	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,570.40	Professional		$891.25	$1,230.27	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$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 $758.58 / $1,023.29 / $2,137.96	Professional		$758.58	$1,023.29	$2,137.96