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 / $19,952.62	Facility		$3,715.35	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $5,370.32	Professional		$891.25	$1,096.48	$5,370.32
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 $1,122.02 / $1,548.82 / $2,951.21	Professional		$1,122.02	$1,548.82	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $14,791.08	Facility		$66.07	$5,128.61	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,754.23	Professional		$1,000.00	$1,445.44	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $21,379.62	Facility		$8,511.38	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,570.40	Professional		$977.24	$1,258.93	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,412.54	Professional		$676.08	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,041.74	Professional		$851.14	$1,122.02	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $61,659.50	Facility		$33,884.42	$33,884.42	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $8,511.38	Professional		$7,244.36	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,949.84	Facility		$977.24	$1,288.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,570.40	Professional		$977.24	$1,288.25	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,479.11	Professional		$851.14	$1,023.29	$1,479.11
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 $776.25 / $1,047.13 / $2,137.96	Professional		$776.25	$1,047.13	$2,137.96