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 $3,090.30 / $3,801.89 / $12,302.69	Professional		$3,090.30	$3,801.89	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $7,762.47	Professional		$2,630.27	$3,890.45	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $12,882.50	Facility		$60.26	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,466.84 / $8,511.38	Professional		$3,090.30	$4,466.84	$8,511.38
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 $2,754.23 / $4,168.69 / $8,128.31	Professional		$2,754.23	$4,168.69	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,570.88	Professional		$1,548.82	$2,290.87	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $6,918.31	Professional		$2,951.21	$3,630.78	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $31,622.78	Facility		$54.95	$56.23	$31,622.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $30,199.52 / $30,199.52	Professional		$26,302.68	$30,199.52	$30,199.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $6,918.31	Facility		$3,019.95	$4,168.69	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $8,912.51	Professional		$2,344.23	$4,168.69	$8,912.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,467.37	Professional		$1,949.84	$2,691.53	$3,467.37
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 $2,754.23 / $3,715.35 / $7,079.46	Professional		$2,754.23	$3,715.35	$7,079.46