Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $4,786.30	Professional		$1,047.13	$1,348.96	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,548.13	Professional		$1,380.38	$1,862.09	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,235.94	Professional		$1,174.90	$1,659.59	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,019.95	Professional		$1,174.90	$1,479.11	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,621.81	Professional		$954.99	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,344.23	Professional		$977.24	$1,318.26	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $10,000.00	Professional		$8,511.38	$10,000.00	$10,000.00
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 $1,148.15 / $1,479.11 / $2,398.83	Facility		$1,148.15	$1,479.11	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,019.95	Professional		$1,148.15	$1,513.56	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,041.74	Professional		$977.24	$1,348.96	$2,041.74
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 $912.01 / $1,230.27 / $2,511.89	Professional		$912.01	$1,230.27	$2,511.89