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 / $23,442.29	Facility		$4,466.84	$10,715.19	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $8,317.64	Professional		$2,041.74	$2,511.89	$8,317.64
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 $1,380.38 / $2,570.40 / $5,128.61	Professional		$1,380.38	$2,570.40	$5,128.61
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 $2,089.30 / $2,951.21 / $5,754.40	Professional		$2,089.30	$2,951.21	$5,754.40
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 $1,698.24 / $2,754.23 / $5,248.07	Professional		$1,698.24	$2,754.23	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,951.21	Professional		$776.25	$1,174.90	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,570.88	Professional		$1,905.46	$2,290.87	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $19,952.62 / $19,952.62	Professional		$16,218.10	$19,952.62	$19,952.62
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 / $2,754.23 / $4,570.88	Facility		$2,089.30	$2,754.23	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $5,754.40	Professional		$1,380.38	$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 $977.24 / $1,380.38 / $2,089.30	Professional		$977.24	$1,380.38	$2,089.30
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