Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $6,760.83	Professional		$1,122.02	$1,445.44	$6,760.83
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 $1,348.96 / $2,041.74 / $3,890.45	Professional		$1,348.96	$2,041.74	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,715.19	Facility		$66.07	$4,073.80	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,388.44	Professional		$1,230.27	$1,737.80	$3,388.44
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 $1,202.26 / $1,584.89 / $3,235.94	Professional		$1,202.26	$1,584.89	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,737.80	Professional		$724.44	$1,288.25	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,691.53	Professional		$1,047.13	$1,412.54	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $45,708.82 / $45,708.82	Facility		$17,378.01	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $10,715.19	Professional		$9,120.11	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,454.71	Facility		$1,230.27	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,235.94	Professional		$1,174.90	$1,621.81	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,584.89	Professional		$933.25	$1,174.90	$1,584.89
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 $1,000.00 / $1,318.26 / $2,691.53	Professional		$1,000.00	$1,318.26	$2,691.53