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 $1,096.48 / $1,380.38 / $6,606.93	Professional		$1,096.48	$1,380.38	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $3,630.78	Professional		$1,148.15	$1,737.80	$3,630.78
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 $1,096.48 / $1,584.89 / $3,311.31	Professional		$1,096.48	$1,584.89	$3,311.31
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 $1,000.00 / $1,412.54 / $3,019.95	Professional		$1,000.00	$1,412.54	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,659.59	Professional		$812.83	$1,230.27	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,344.23	Professional		$1,023.29	$1,380.38	$2,344.23
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 $8,511.38 / $9,772.37 / $9,772.37	Professional		$8,511.38	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,290.87	Facility		$1,148.15	$1,479.11	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,019.95	Professional		$933.25	$1,412.54	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,737.80	Professional		$1,023.29	$1,202.26	$1,737.80
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 $912.01 / $1,258.93 / $3,311.31	Professional		$912.01	$1,258.93	$3,311.31