Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $6,309.57	Professional		$1,659.59	$1,995.26	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,182.57 / $22,387.21	Facility		$7,244.36	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,466.84	Professional		$1,905.46	$2,511.89	$4,466.84
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 $1,778.28 / $2,511.89 / $4,786.30	Professional		$1,778.28	$2,511.89	$4,786.30
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 $1,479.11 / $2,238.72 / $4,265.80	Professional		$1,479.11	$2,238.72	$4,265.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,344.23	Professional		$1,096.48	$1,659.59	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,715.35	Professional		$1,513.56	$1,862.09	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $15,135.61 / $15,135.61	Professional		$13,182.57	$15,135.61	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,715.35	Facility		$1,698.24	$2,290.87	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $4,570.88	Professional		$1,288.25	$2,290.87	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,344.23	Professional		$1,380.38	$1,659.59	$2,344.23
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 $1,479.11 / $1,995.26 / $3,715.35	Professional		$1,479.11	$1,995.26	$3,715.35