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 / $18,197.01	Facility		$3,090.30	$7,762.47	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $7,413.10	Professional		$1,258.93	$1,659.59	$7,413.10
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 $1,659.59 / $2,238.72 / $4,466.84	Professional		$1,659.59	$2,238.72	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,890.45	Professional		$1,348.96	$1,949.84	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,548.13	Professional		$1,318.26	$1,737.80	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,041.74	Professional		$1,096.48	$1,621.81	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,467.37	Professional		$1,348.96	$1,778.28	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $45,708.82	Facility		$10,232.93	$10,232.93	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $13,803.84	Professional		$10,715.19	$13,803.84	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,818.38	Facility		$1,318.26	$1,819.70	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,890.45	Professional		$1,288.25	$1,778.28	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,344.23	Professional		$1,318.26	$1,659.59	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,162.28	Professional		$1,148.15	$1,513.56	$3,162.28