Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $5,370.32	Professional		$954.99	$1,288.25	$5,370.32
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 $1,202.26 / $1,778.28 / $3,311.31	Professional		$1,202.26	$1,778.28	$3,311.31
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 $1,071.52 / $1,513.56 / $2,951.21	Professional		$1,071.52	$1,513.56	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,754.23	Professional		$1,023.29	$1,348.96	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,479.11	Professional		$645.65	$1,096.48	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $28,840.32	Facility		$22,387.21	$22,387.21	$28,840.32
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 $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,089.30	Facility		$1,047.13	$1,318.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,754.23	Professional		$1,000.00	$1,412.54	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,380.38	Professional		$812.83	$1,000.00	$1,380.38
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 $851.14 / $1,122.02 / $2,344.23	Professional		$851.14	$1,122.02	$2,344.23