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 $2,041.74 / $2,398.83 / $8,709.64	Professional		$2,041.74	$2,398.83	$8,709.64
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 $2,238.72 / $2,884.03 / $5,248.07	Professional		$2,238.72	$2,884.03	$5,248.07
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 $2,137.96 / $3,090.30 / $5,754.40	Professional		$2,137.96	$3,090.30	$5,754.40
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 $1,778.28 / $2,754.23 / $5,128.61	Professional		$1,778.28	$2,754.23	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,951.21	Professional		$1,621.81	$2,238.72	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,466.84	Professional		$1,905.46	$2,290.87	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $39,810.72	Facility		$54.95	$56.23	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $19,054.61 / $19,054.61	Professional		$15,488.17	$19,054.61	$19,054.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,570.88	Facility		$2,137.96	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $5,623.41	Professional		$1,621.81	$2,818.38	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,467.37	Professional		$1,819.70	$2,398.83	$3,467.37
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 $1,819.70 / $2,454.71 / $4,466.84	Professional		$1,819.70	$2,454.71	$4,466.84