Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,165.95 / $16,982.44	Facility		$1,778.28	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $6,165.95	Professional		$1,096.48	$1,479.11	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,981.07	Professional		$1,412.54	$2,089.30	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,762.47	Facility		$66.07	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,467.37	Professional		$1,230.27	$1,778.28	$3,467.37
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 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $1,778.28	Professional		$691.83	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,754.23	Professional		$1,071.52	$1,445.44	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $19,498.45	Facility		$17,378.01	$17,378.01	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $11,220.18 / $11,220.18	Professional		$10,000.00	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,511.89	Facility		$1,174.90	$1,548.82	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,311.31	Professional		$1,174.90	$1,698.24	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,479.11	Professional		$870.96	$1,174.90	$1,479.11
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 $1,023.29 / $1,348.96 / $2,818.38	Professional		$1,023.29	$1,348.96	$2,818.38