Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $20,892.96	Facility		$4,168.69	$10,232.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $6,309.57	Professional		$1,096.48	$1,659.59	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,677.35	Professional		$1,380.38	$2,041.74	$4,677.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,073.80	Professional		$1,348.96	$1,949.84	$4,073.80
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 $1,096.48 / $1,659.59 / $3,630.78	Professional		$1,096.48	$1,659.59	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,187.76	Professional		$741.31	$1,122.02	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,467.37	Professional		$1,348.96	$1,778.28	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,022.64 / $12,022.64	Professional		$10,232.93	$12,022.64	$12,022.64
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 $1,318.26 / $1,778.28 / $2,818.38	Facility		$1,318.26	$1,778.28	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,715.35	Professional		$1,096.48	$1,621.81	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,659.59	Professional		$933.25	$1,288.25	$1,659.59
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 $1,047.13 / $1,513.56 / $4,073.80	Professional		$1,047.13	$1,513.56	$4,073.80