Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $6,606.93	Professional		$1,412.54	$1,778.28	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,897.79	Professional		$1,513.56	$2,137.96	$4,897.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,606.93 / $16,982.44	Facility		$66.07	$6,606.93	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $4,677.35	Professional		$1,621.81	$2,398.83	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $4,168.69	Professional		$1,412.54	$1,905.46	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,290.87	Professional		$676.08	$1,023.29	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,162.28	Professional		$1,412.54	$1,862.09	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $13,182.57 / $13,182.57	Professional		$11,220.18	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,090.30	Facility		$1,479.11	$1,995.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,168.69	Professional		$1,258.93	$1,905.46	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,621.81	Professional		$851.14	$1,202.26	$1,621.81
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 $1,258.93 / $1,737.80 / $4,466.84	Professional		$1,258.93	$1,737.80	$4,466.84