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 / $2,511.89 / $8,128.31	Professional		$2,041.74	$2,511.89	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,182.57 / $22,387.21	Facility		$7,413.10	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,128.61	Professional		$1,737.80	$2,570.40	$5,128.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $5,370.32	Professional		$1,949.84	$2,754.23	$5,370.32
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 $1,737.80 / $2,754.23 / $5,248.07	Professional		$1,737.80	$2,754.23	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,019.95	Professional		$1,230.27	$1,862.09	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $4,570.88	Professional		$1,905.46	$2,344.23	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $19,498.45 / $19,498.45	Professional		$17,378.01	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,570.88	Facility		$2,089.30	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $5,754.40	Professional		$1,548.82	$2,754.23	$5,754.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,630.27	Professional		$1,548.82	$2,089.30	$2,630.27
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 / $4,677.35	Professional		$1,819.70	$2,454.71	$4,677.35