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 $812.83 / $1,000.00 / $5,011.87	Professional		$812.83	$1,000.00	$5,011.87
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 $1,047.13 / $1,348.96 / $2,691.53	Professional		$1,047.13	$1,348.96	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,454.71	Professional		$870.96	$1,258.93	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,398.83	Professional		$870.96	$1,148.15	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,318.26	Professional		$812.83	$977.24	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,905.46	Professional		$812.83	$1,071.52	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,413.10	Facility		$54.95	$56.23	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $14,125.38	Professional		$8,511.38	$8,511.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,949.84	Facility		$891.25	$1,174.90	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,398.83	Professional		$851.14	$1,148.15	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,737.80	Professional		$812.83	$1,148.15	$1,737.80
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 $707.95 / $954.99 / $1,995.26	Professional		$707.95	$954.99	$1,995.26