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 $1,698.24 / $2,137.96 / $6,918.31	Professional		$1,698.24	$2,137.96	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,265.80	Professional		$1,513.56	$2,187.76	$4,265.80
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 $1,621.81 / $2,290.87 / $4,466.84	Professional		$1,621.81	$2,290.87	$4,466.84
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 / $2,290.87 / $4,570.88	Professional		$1,479.11	$2,290.87	$4,570.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,754.23	Professional		$676.08	$1,023.29	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,981.07	Professional		$1,737.80	$2,137.96	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $17,378.01 / $17,378.01	Professional		$14,125.38	$17,378.01	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,801.89	Facility		$1,778.28	$2,344.23	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $5,011.87	Professional		$1,318.26	$2,290.87	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,905.46	Professional		$851.14	$1,202.26	$1,905.46
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 / $2,041.74 / $3,981.07	Professional		$1,479.11	$2,041.74	$3,981.07