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 $912.01 / $1,230.27 / $5,623.41	Professional		$912.01	$1,230.27	$5,623.41
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 $1,071.52 / $1,698.24 / $3,235.94	Professional		$1,071.52	$1,698.24	$3,235.94
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 $1,023.29 / $1,479.11 / $2,818.38	Professional		$1,023.29	$1,479.11	$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 $977.24 / $1,318.26 / $2,691.53	Professional		$977.24	$1,318.26	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,445.44	Professional		$776.25	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,238.72	Professional		$870.96	$1,174.90	$2,238.72
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 $7,585.78 / $8,912.51 / $8,912.51	Professional		$7,585.78	$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 $977.24 / $1,258.93 / $2,041.74	Facility		$977.24	$1,258.93	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,691.53	Professional		$977.24	$1,348.96	$2,691.53
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 $870.96 / $1,174.90 / $1,659.59	Professional		$870.96	$1,174.90	$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 $812.83 / $1,096.48 / $2,290.87	Professional		$812.83	$1,096.48	$2,290.87