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 $1,000.00 / $1,288.25 / $6,165.95	Professional		$1,000.00	$1,288.25	$6,165.95
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 $1,096.48 / $1,584.89 / $3,467.37	Professional		$1,096.48	$1,584.89	$3,467.37
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 $1,047.13 / $1,548.82 / $3,090.30	Professional		$1,047.13	$1,548.82	$3,090.30
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 / $1,318.26 / $2,818.38	Professional		$933.25	$1,318.26	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,621.81	Professional		$891.25	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,187.76	Professional		$954.99	$1,288.25	$2,187.76
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 $7,762.47 / $9,120.11 / $9,120.11	Professional		$7,762.47	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,137.96	Facility		$1,023.29	$1,348.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,818.38	Professional		$851.14	$1,318.26	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,905.46	Professional		$977.24	$1,348.96	$1,905.46
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 $831.76 / $1,174.90 / $3,090.30	Professional		$831.76	$1,174.90	$3,090.30