Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,762.47 / $19,054.61	Facility		$3,090.30	$7,762.47	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $6,025.60	Professional		$954.99	$1,380.38	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,311.31	Professional		$1,122.02	$1,737.80	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,715.19	Facility		$66.07	$3,981.07	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,818.38	Professional		$1,023.29	$1,445.44	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,691.53	Professional		$1,000.00	$1,318.26	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,819.70	Professional		$776.25	$1,318.26	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,754.23	Professional		$1,096.48	$1,445.44	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $45,708.82	Facility		$17,378.01	$17,378.01	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,332.54 / $9,332.54	Professional		$7,762.47	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,137.96	Facility		$1,047.13	$1,445.44	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,754.23	Professional		$977.24	$1,380.38	$2,754.23
Sutter Health Plus 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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,659.59	Professional		$977.24	$1,202.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,290.87	Professional		$831.76	$1,148.15	$2,290.87