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 $912.01 / $1,348.96 / $6,309.57	Professional		$912.01	$1,348.96	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,548.13	Professional		$1,023.29	$1,548.82	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $14,125.38	Facility		$66.07	$741.31	$14,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $3,090.30	Professional		$891.25	$1,202.26	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $707.95	Facility		$416.87	$575.44	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,019.95	Professional		$954.99	$1,380.38	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,548.82	Professional		$1,023.29	$1,174.90	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,511.89	Professional		$933.25	$1,202.26	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,332.54 / $9,332.54	Professional		$8,317.64	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,238.72	Facility		$1,047.13	$1,380.38	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,090.30	Professional		$977.24	$1,412.54	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,585.78	Facility		$1,380.38	$2,818.38	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89