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 $1,862.09 / $2,290.87 / $7,413.10	Professional		$1,862.09	$2,290.87	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,677.35	Professional		$1,862.09	$2,511.89	$4,677.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $4,365.16	Professional		$1,479.11	$2,137.96	$4,365.16
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 $1,412.54 / $2,511.89 / $4,786.30	Professional		$1,412.54	$2,511.89	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,691.53	Professional		$1,230.27	$1,862.09	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $4,265.80	Professional		$1,737.80	$2,089.30	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $18,197.01 / $18,197.01	Professional		$14,791.08	$18,197.01	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,168.69	Facility		$1,862.09	$2,511.89	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $5,370.32	Professional		$1,348.96	$2,511.89	$5,370.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,691.53	Professional		$1,584.89	$1,905.46	$2,691.53
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 $1,621.81 / $2,238.72 / $4,265.80	Professional		$1,621.81	$2,238.72	$4,265.80