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 $1,380.38 / $1,698.24 / $8,317.64	Professional		$1,380.38	$1,698.24	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,677.35	Professional		$1,862.09	$2,511.89	$4,677.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,760.83 / $19,054.61	Facility		$66.07	$6,760.83	$19,054.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,168.69	Professional		$1,445.44	$2,089.30	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,073.80	Professional		$1,548.82	$2,089.30	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,089.30	Professional		$1,288.25	$1,548.82	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,090.30	Professional		$1,258.93	$1,698.24	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $51,286.14	Facility		$54.95	$56.23	$51,286.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,090.30	Facility		$1,445.44	$1,862.09	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,073.80	Professional		$1,548.82	$2,089.30	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,187.76	Professional		$1,258.93	$1,659.59	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $15,848.93 / $38,018.94	Facility		$8,912.51	$15,848.93	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,388.44	Professional		$1,202.26	$1,737.80	$3,388.44