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 / $23,988.33	Facility		$4,466.84	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $15,848.93	Professional		$3,890.45	$4,786.30	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $10,232.93	Professional		$2,884.03	$5,248.07	$10,232.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $6,918.31	Professional		$2,041.74	$2,884.03	$6,918.31
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 $2,238.72 / $5,248.07 / $10,232.93	Professional		$2,238.72	$5,248.07	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $5,495.41	Professional		$1,949.84	$2,951.21	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $8,709.64	Professional		$3,630.78	$4,365.16	$8,709.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $77,624.71	Facility		$54.95	$56.23	$77,624.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $37,153.52 / $37,153.52	Professional		$30,902.95	$37,153.52	$37,153.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $8,709.64	Facility		$3,090.30	$5,011.87	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,248.07 / $10,964.78	Professional		$1,995.26	$5,248.07	$10,964.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $4,466.84	Professional		$2,454.71	$3,467.37	$4,466.84
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 $3,388.44 / $4,677.35 / $8,912.51	Professional		$3,388.44	$4,677.35	$8,912.51