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 / $2,041.74 / $6,760.83	Professional		$1,659.59	$2,041.74	$6,760.83
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 $1,318.26 / $2,089.30 / $4,168.69	Professional		$1,318.26	$2,089.30	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,466.84	Professional		$1,621.81	$2,344.23	$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 $1,513.56 / $2,238.72 / $4,365.16	Professional		$1,513.56	$2,238.72	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,862.09 / $2,454.71	Professional		$870.96	$1,862.09	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,801.89	Professional		$1,548.82	$1,905.46	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $16,218.10 / $16,218.10	Professional		$13,182.57	$16,218.10	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,630.78	Facility		$1,698.24	$2,238.72	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $4,677.35	Professional		$1,445.44	$2,238.72	$4,677.35
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 $1,096.48 / $1,513.56 / $1,995.26	Professional		$1,096.48	$1,513.56	$1,995.26
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 / $3,801.89	Professional		$1,479.11	$1,995.26	$3,801.89