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 $1,122.02 / $1,445.44 / $6,760.83	Professional		$1,122.02	$1,445.44	$6,760.83
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 $1,288.25 / $1,819.70 / $3,801.89	Professional		$1,288.25	$1,819.70	$3,801.89
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 $1,148.15 / $1,659.59 / $3,388.44	Professional		$1,148.15	$1,659.59	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,495.41	Facility		$4,677.35	$4,677.35	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,162.28	Professional		$1,023.29	$1,445.44	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,698.24	Professional		$891.25	$1,318.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,398.83	Professional		$1,047.13	$1,412.54	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $33,884.42 / $33,884.42	Facility		$20,892.96	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
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 $1,174.90 / $1,513.56 / $2,454.71	Facility		$1,174.90	$1,513.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,162.28	Professional		$954.99	$1,445.44	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,905.46	Professional		$1,071.52	$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 $933.25 / $1,318.26 / $3,388.44	Professional		$933.25	$1,318.26	$3,388.44