Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $5,011.87	Professional		$891.25	$1,148.15	$5,011.87
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 $1,096.48 / $1,479.11 / $3,235.94	Professional		$1,096.48	$1,479.11	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $9,332.54	Facility		$66.07	$3,548.13	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,691.53	Professional		$933.25	$1,380.38	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,570.40	Professional		$912.01	$1,174.90	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,258.93	Professional		$794.33	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,862.09	Professional		$794.33	$1,047.13	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $28,840.32 / $28,840.32	Facility		$14,454.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,949.84	Facility		$954.99	$1,288.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,454.71	Professional		$870.96	$1,174.90	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,698.24	Professional		$794.33	$1,096.48	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,630.27	Professional		$776.25	$1,148.15	$2,630.27