Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $5,888.44	Professional		$977.24	$1,288.25	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $16,982.44	Facility		$4,570.88	$7,943.28	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,715.35	Professional		$1,202.26	$1,862.09	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $8,709.64	Facility		$66.07	$2,041.74	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,019.95	Professional		$1,047.13	$1,513.56	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $57,543.99	Facility		$1,174.90	$1,380.38	$57,543.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,818.38	Professional		$1,047.13	$1,348.96	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,479.11	Professional		$891.25	$1,230.27	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,511.89	Professional		$1,047.13	$1,380.38	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,398.83	Facility		$1,148.15	$1,479.11	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,884.03	Professional		$977.24	$1,348.96	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $3,090.30	Professional		$912.01	$1,258.93	$3,090.30