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 / $8,128.31	Professional		$1,288.25	$1,584.89	$8,128.31
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 $1,202.26 / $1,737.80 / $4,073.80	Professional		$1,202.26	$1,737.80	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,951.21	Professional		$870.96	$1,258.93	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,715.35	Professional		$1,000.00	$1,737.80	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,089.30	Professional		$831.76	$1,548.82	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,019.95	Professional		$1,258.93	$1,698.24	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,882.50 / $12,882.50	Professional		$10,715.19	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,691.53	Facility		$1,096.48	$1,659.59	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,801.89	Professional		$1,000.00	$1,819.70	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,778.28	Professional		$1,047.13	$1,380.38	$1,778.28
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 $954.99 / $1,412.54 / $3,090.30	Professional		$954.99	$1,412.54	$3,090.30