Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $22,908.68	Facility		$4,466.84	$10,232.93	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $6,456.54	Professional		$1,584.89	$1,949.84	$6,456.54
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 $1,659.59 / $2,089.30 / $3,981.07	Professional		$1,659.59	$2,089.30	$3,981.07
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 $1,548.82 / $2,187.76 / $4,265.80	Professional		$1,548.82	$2,187.76	$4,265.80
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 $1,412.54 / $2,137.96 / $4,073.80	Professional		$1,412.54	$2,137.96	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,290.87	Professional		$1,071.52	$1,621.81	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,630.78	Professional		$1,479.11	$1,778.28	$3,630.78
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 $12,589.25 / $15,488.17 / $15,488.17	Professional		$12,589.25	$15,488.17	$15,488.17
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 $1,659.59 / $2,187.76 / $3,548.13	Facility		$1,659.59	$2,187.76	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $4,466.84	Professional		$1,318.26	$2,137.96	$4,466.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,290.87	Professional		$1,348.96	$1,621.81	$2,290.87
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 $1,412.54 / $1,905.46 / $3,630.78	Professional		$1,412.54	$1,905.46	$3,630.78