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 $3,388.44 / $4,073.80 / $13,803.84	Professional		$3,388.44	$4,073.80	$13,803.84
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 $2,398.83 / $4,365.16 / $8,511.38	Professional		$2,398.83	$4,365.16	$8,511.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $5,888.44	Professional		$1,737.80	$2,454.71	$5,888.44
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 $1,905.46 / $4,466.84 / $8,511.38	Professional		$1,905.46	$4,466.84	$8,511.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,897.79	Professional		$1,621.81	$2,454.71	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $7,413.10	Professional		$3,162.28	$3,801.89	$7,413.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $67,608.30	Facility		$54.95	$56.23	$67,608.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $32,359.37 / $32,359.37	Professional		$26,302.68	$32,359.37	$32,359.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,466.84 / $9,332.54	Professional		$1,659.59	$4,466.84	$9,332.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,715.35	Professional		$2,041.74	$2,884.03	$3,715.35
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 $2,884.03 / $3,981.07 / $7,585.78	Professional		$2,884.03	$3,981.07	$7,585.78