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 $954.99 / $1,174.90 / $5,754.40	Professional		$954.99	$1,174.90	$5,754.40
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 $1,122.02 / $1,548.82 / $3,162.28	Professional		$1,122.02	$1,548.82	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,162.28	Professional		$1,202.26	$1,698.24	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,754.23	Professional		$1,047.13	$1,380.38	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,513.56	Professional		$977.24	$1,174.90	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,187.76	Professional		$912.01	$1,202.26	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,238.72	Facility		$1,023.29	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,754.23	Professional		$1,023.29	$1,412.54	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,089.30	Professional		$977.24	$1,348.96	$2,089.30
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 $812.83 / $1,122.02 / $2,238.72	Professional		$812.83	$1,122.02	$2,238.72