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 $812.83 / $1,071.52 / $5,248.07	Professional		$812.83	$1,071.52	$5,248.07
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 $1,023.29 / $1,445.44 / $2,951.21	Professional		$1,023.29	$1,445.44	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,570.40	Professional		$891.25	$1,258.93	$2,570.40
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 $870.96 / $1,174.90 / $2,454.71	Professional		$870.96	$1,174.90	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,348.96	Professional		$707.95	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,089.30	Professional		$831.76	$1,096.48	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $28,840.32	Facility		$17,378.01	$17,378.01	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,819.70	Facility		$912.01	$1,148.15	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,454.71	Professional		$851.14	$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 $812.83 / $1,071.52 / $1,513.56	Professional		$812.83	$1,071.52	$1,513.56
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 $741.31 / $977.24 / $2,089.30	Professional		$741.31	$977.24	$2,089.30