Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $6,309.57	Professional		$891.25	$1,122.02	$6,309.57
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 $954.99 / $1,348.96 / $3,388.44	Professional		$954.99	$1,348.96	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $10,964.78	Facility		$66.07	$3,162.28	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $3,019.95	Professional		$954.99	$1,258.93	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,884.03	Professional		$1,000.00	$1,318.26	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,584.89	Professional		$831.76	$1,230.27	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,398.83	Professional		$977.24	$1,318.26	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $33,884.42 / $33,884.42	Facility		$11,220.18	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,772.37 / $9,772.37	Professional		$8,317.64	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,778.28	Facility		$977.24	$1,318.26	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,884.03	Professional		$977.24	$1,318.26	$2,884.03
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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,778.28	Professional		$1,000.00	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $21,379.62	Facility		$5,623.41	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,398.83	Professional		$870.96	$1,174.90	$2,398.83