Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $10,471.29	Professional		$2,511.89	$3,090.30	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $6,456.54	Professional		$2,511.89	$3,311.31	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,481.54	Facility		$60.26	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $7,079.46	Professional		$2,511.89	$3,630.78	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $6,606.93	Professional		$1,949.84	$3,388.44	$6,606.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,715.35	Professional		$1,096.48	$1,659.59	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $5,495.41	Professional		$2,238.72	$2,818.38	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,884.42	Facility		$54.95	$56.23	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $22,908.68 / $22,908.68	Professional		$19,498.45	$22,908.68	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,495.41	Facility		$2,511.89	$3,311.31	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $6,918.31	Professional		$1,905.46	$3,388.44	$6,918.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,570.40	Professional		$1,380.38	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,623.41	Professional		$2,187.76	$2,951.21	$5,623.41