Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $22,387.21	Facility		$3,715.35	$9,120.11	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $6,918.31	Professional		$1,000.00	$1,479.11	$6,918.31
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 $1,047.13 / $1,737.80 / $4,073.80	Professional		$1,047.13	$1,737.80	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $12,589.25	Facility		$66.07	$5,011.87	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,467.37	Professional		$1,071.52	$1,584.89	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,162.28	Professional		$933.25	$1,412.54	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,949.84	Professional		$501.19	$758.58	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,630.27	Professional		$1,202.26	$1,584.89	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,398.83	Facility		$1,122.02	$1,548.82	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,235.94	Professional		$891.25	$1,380.38	$3,235.94
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 $630.96 / $891.25 / $1,380.38	Professional		$630.96	$891.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,548.13	Professional		$870.96	$1,288.25	$3,548.13