Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $5,248.07	Professional		$831.76	$1,000.00	$5,248.07
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 $1,071.52 / $1,445.44 / $2,818.38	Professional		$1,071.52	$1,445.44	$2,818.38
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 $912.01 / $1,288.25 / $2,570.40	Professional		$912.01	$1,288.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,454.71	Professional		$912.01	$1,202.26	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,380.38	Professional		$851.14	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,949.84	Professional		$831.76	$1,096.48	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,606.93	Facility		$54.95	$56.23	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,862.09	Facility		$933.25	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,454.71	Professional		$912.01	$1,230.27	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,819.70	Professional		$851.14	$1,174.90	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $2,089.30	Professional		$741.31	$1,000.00	$2,089.30