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 / $1,230.27 / $6,025.60	Professional		$954.99	$1,230.27	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,090.30	Professional		$1,148.15	$1,513.56	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,818.38	Professional		$954.99	$1,380.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,818.38	Professional		$977.24	$1,348.96	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,778.28	Professional		$630.96	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,691.53	Professional		$1,071.52	$1,412.54	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $10,232.93	Professional		$7,943.28	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,137.96	Facility		$1,096.48	$1,412.54	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,884.03	Professional		$977.24	$1,348.96	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,412.54	Professional		$794.33	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,344.23	Professional		$851.14	$1,122.02	$2,344.23