Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $7,413.10	Professional		$1,621.81	$2,089.30	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $5,495.41	Professional		$1,659.59	$2,630.27	$5,495.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,011.87	Professional		$1,698.24	$2,511.89	$5,011.87
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 $1,548.82 / $2,187.76 / $4,677.35	Professional		$1,548.82	$2,187.76	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,570.40	Professional		$1,230.27	$1,862.09	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,467.37	Professional		$1,584.89	$2,089.30	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,454.40 / $14,454.40	Professional		$12,302.69	$14,454.40	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,467.37	Facility		$1,698.24	$2,238.72	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $4,677.35	Professional		$1,412.54	$2,187.76	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,630.27	Professional		$1,548.82	$1,862.09	$2,630.27
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 $1,380.38 / $1,905.46 / $5,011.87	Professional		$1,380.38	$1,905.46	$5,011.87