Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $25,703.96	Facility		$4,897.79	$10,715.19	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $4,677.35	Professional		$1,000.00	$1,445.44	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $4,073.80	Professional		$1,202.26	$1,995.26	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $24,547.09	Facility		$66.07	$2,290.87	$24,547.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,467.37	Professional		$1,023.29	$1,513.56	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,791.08 / $23,988.33	Facility		$9,549.93	$14,791.08	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,090.30	Professional		$1,096.48	$1,380.38	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,288.25	Professional		$812.83	$1,023.29	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,238.72	Professional		$870.96	$1,148.15	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $16,218.10	Facility		$1,122.02	$1,584.89	$16,218.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,884.03	Professional		$1,071.52	$1,348.96	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $2,238.72	Professional		$831.76	$1,513.56	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,454.40 / $28,840.32	Facility		$7,762.47	$14,454.40	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,754.23	Professional		$912.01	$1,258.93	$2,754.23