Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.00 / $10,321.00 / $22,330.11	Facility		$2,572.00	$10,321.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,138.99 / $4,548.34	Professional		$942.87	$1,138.99	$4,548.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.91 / $1,546.59 / $3,094.11	Professional		$1,172.91	$1,546.59	$3,094.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,885.07	Facility		$66.00	$100.00	$15,885.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $846.45 / $1,217.78 / $2,755.46	Professional		$846.45	$1,217.78	$2,755.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,041.07 / $16,192.97	Facility		$2,277.00	$9,041.07	$16,192.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.92 / $1,361.05 / $2,980.43	Professional		$1,035.92	$1,361.05	$2,980.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $818.69 / $1,289.66 / $6,454.69	Professional		$818.69	$1,289.66	$6,454.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.01 / $1,447.59 / $2,629.22	Professional		$1,043.01	$1,447.59	$2,629.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,189.00 / $26,112.45	Facility		$55.00	$5,189.00	$26,112.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,014.80 / $8,172.08 / $9,552.37	Professional		$8,014.80	$8,172.08	$9,552.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.90 / $1,414.99 / $1,906.94	Facility		$1,158.90	$1,414.99	$1,906.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,083.77 / $1,420.24 / $2,919.23	Professional		$1,083.77	$1,420.24	$2,919.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,561.70 / $3,561.70 / $3,561.70	Professional		$3,561.70	$3,561.70	$3,561.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,040.83 / $1,170.95 / $1,431.16	Professional		$1,040.83	$1,170.95	$1,431.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $1,136.52 / $2,485.46	Professional		$855.86	$1,136.52	$2,485.46