Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $6,606.93	Professional		$1,148.15	$1,479.11	$6,606.93
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 $1,479.11 / $2,041.74 / $4,168.69	Professional		$1,479.11	$2,041.74	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $9,332.54	Facility		$66.07	$3,548.13	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,630.78	Professional		$1,258.93	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,311.31	Professional		$1,174.90	$1,513.56	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,548.82	Professional		$691.83	$1,047.13	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,398.83	Professional		$1,000.00	$1,318.26	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,232.93 / $10,232.93	Professional		$8,912.51	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Facility		$1,174.90	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,235.94	Professional		$1,148.15	$1,513.56	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $3,467.37	Professional		$1,000.00	$1,380.38	$3,467.37