Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $18,197.01	Facility		$3,235.94	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $4,677.35	Professional		$1,096.48	$1,348.96	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,548.13	Professional		$1,258.93	$1,778.28	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,466.84 / $12,022.64	Facility		$66.07	$4,466.84	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,388.44	Professional		$1,230.27	$1,737.80	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $16,595.87 / $16,595.87	Facility		$8,511.38	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,162.28	Professional		$1,148.15	$1,513.56	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $1,737.80	Professional		$676.08	$1,288.25	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,754.23	Professional		$1,047.13	$1,412.54	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $47,863.01	Facility		$45,708.82	$45,708.82	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $10,471.29	Professional		$9,332.54	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,691.53	Facility		$1,202.26	$1,548.82	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,162.28	Professional		$1,148.15	$1,548.82	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,445.44	Professional		$851.14	$1,148.15	$1,445.44
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 $954.99 / $1,258.93 / $2,630.27	Professional		$954.99	$1,258.93	$2,630.27