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 $1,000.00 / $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 $6,025.60 / $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 $1,288.25 / $1,698.24 / $3,311.31	Professional		$1,288.25	$1,698.24	$3,311.31
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 $1,122.02 / $1,621.81 / $3,090.30	Professional		$1,122.02	$1,621.81	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$1,412.54	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,584.89	Professional		$724.44	$1,148.15	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,691.53	Professional		$933.25	$1,258.93	$2,691.53
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 $8,709.64 / $9,549.93 / $9,549.93	Professional		$8,709.64	$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 / $2,187.76	Facility		$1,096.48	$1,412.54	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$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 $912.01 / $1,071.52 / $1,548.82	Professional		$912.01	$1,071.52	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
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