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 $1,023.29 / $1,288.25 / $6,165.95	Professional		$1,023.29	$1,288.25	$6,165.95
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 $1,174.90 / $1,819.70 / $3,548.13	Professional		$1,174.90	$1,819.70	$3,548.13
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 $977.24 / $1,412.54 / $2,884.03	Professional		$977.24	$1,412.54	$2,884.03
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 / $1,412.54 / $2,884.03	Professional		$1,023.29	$1,412.54	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $1,584.89	Professional		$616.60	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,454.71	Professional		$954.99	$1,288.25	$2,454.71
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 $8,317.64 / $9,772.37 / $9,772.37	Professional		$8,317.64	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,238.72	Facility		$1,071.52	$1,380.38	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,951.21	Professional		$1,000.00	$1,412.54	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,318.26	Professional		$776.25	$1,047.13	$1,318.26
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 $891.25 / $1,174.90 / $2,454.71	Professional		$891.25	$1,174.90	$2,454.71