Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $7,585.78	Professional		$1,288.25	$1,584.89	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $4,265.80	Professional		$1,479.11	$2,187.76	$4,265.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,073.80	Professional		$1,513.56	$2,137.96	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,630.78	Professional		$1,380.38	$1,862.09	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $1,862.09	Professional		$707.95	$1,380.38	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,754.23	Professional		$1,122.02	$1,513.56	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,589.25	Facility		$54.95	$56.23	$12,589.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,022.64	Professional		$11,748.98	$11,748.98	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,818.38	Facility		$1,380.38	$1,778.28	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,630.78	Professional		$1,348.96	$1,905.46	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,548.82	Professional		$891.25	$1,202.26	$1,548.82
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 $1,096.48 / $1,548.82 / $3,019.95	Professional		$1,096.48	$1,548.82	$3,019.95