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 / $8,511.38	Professional		$2,511.89	$3,090.30	$8,511.38
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 $2,691.53 / $3,388.44 / $6,456.54	Professional		$2,691.53	$3,388.44	$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 $2,398.83 / $3,467.37 / $6,606.93	Professional		$2,398.83	$3,467.37	$6,606.93
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 / $3,388.44 / $6,606.93	Professional		$2,238.72	$3,388.44	$6,606.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,630.78	Professional		$1,905.46	$2,754.23	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $5,623.41	Professional		$2,344.23	$2,818.38	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $24,547.09 / $24,547.09	Professional		$19,952.62	$24,547.09	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,623.41	Facility		$2,511.89	$3,388.44	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $7,079.46	Professional		$1,905.46	$3,388.44	$7,079.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,235.94	Professional		$1,905.46	$2,570.40	$3,235.94
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 $2,238.72 / $3,019.95 / $5,754.40	Professional		$2,238.72	$3,019.95	$5,754.40