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 $1,000.00 / $1,230.27 / $6,025.60	Professional		$1,000.00	$1,230.27	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,311.31	Professional		$1,258.93	$1,659.59	$3,311.31
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 $1,122.02 / $1,584.89 / $3,090.30	Professional		$1,122.02	$1,584.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,884.03	Professional		$1,071.52	$1,380.38	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,584.89	Professional		$831.76	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,344.23	Professional		$954.99	$1,258.93	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $9,549.93 / $9,549.93	Professional		$8,128.31	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,238.72	Facility		$1,096.48	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,884.03	Professional		$1,071.52	$1,412.54	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,778.28	Professional		$954.99	$1,258.93	$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 $870.96 / $1,174.90 / $2,398.83	Professional		$870.96	$1,174.90	$2,398.83