Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $5,370.32	Professional		$912.01	$1,096.48	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,235.94	Professional		$1,148.15	$1,621.81	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $16,982.44	Facility		$66.07	$5,011.87	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,884.03	Professional		$1,000.00	$1,479.11	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,265.80	Facility		$3,630.78	$3,630.78	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,630.27	Professional		$954.99	$1,230.27	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,380.38	Professional		$724.44	$1,071.52	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,089.30	Professional		$891.25	$1,174.90	$2,089.30
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 $7,244.36 / $8,912.51 / $8,912.51	Professional		$7,244.36	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,137.96	Facility		$1,000.00	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,630.27	Professional		$912.01	$1,230.27	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,584.89	Professional		$851.14	$1,096.48	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,884.03	Professional		$831.76	$1,122.02	$2,884.03