Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $5,495.41	Professional		$954.99	$1,202.26	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,467.37	Professional		$1,318.26	$1,737.80	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $16,982.44	Facility		$66.07	$5,754.40	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,090.30	Professional		$1,122.02	$1,621.81	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,884.03	Professional		$1,047.13	$1,445.44	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,412.54	Professional		$446.68	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,290.87	Professional		$851.14	$1,122.02	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Facility		$1,023.29	$1,348.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,754.23	Professional		$1,047.13	$1,445.44	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,000.00	Professional		$562.34	$776.25	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,398.83	Professional		$851.14	$1,174.90	$2,398.83