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 $1,202.26 / $1,513.56 / $6,918.31	Professional		$1,202.26	$1,513.56	$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 $1,348.96 / $1,995.26 / $4,073.80	Professional		$1,348.96	$1,995.26	$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 $1,202.26 / $1,737.80 / $3,467.37	Professional		$1,202.26	$1,737.80	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,623.41	Facility		$4,786.30	$4,786.30	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,311.31	Professional		$1,096.48	$1,621.81	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,737.80	Professional		$891.25	$1,348.96	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,511.89	Professional		$1,096.48	$1,445.44	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $33,884.42 / $33,884.42	Facility		$21,379.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$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 / $1,621.81 / $2,691.53	Facility		$1,202.26	$1,621.81	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,311.31	Professional		$1,023.29	$1,621.81	$3,311.31
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 $1,096.48 / $1,348.96 / $1,905.46	Professional		$1,096.48	$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 $1,000.00 / $1,412.54 / $3,548.13	Professional		$1,000.00	$1,412.54	$3,548.13