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 $1,174.90 / $1,513.56 / $6,918.31	Professional		$1,174.90	$1,513.56	$6,918.31
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 $1,412.54 / $1,995.26 / $4,073.80	Professional		$1,412.54	$1,995.26	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $12,302.69	Facility		$66.07	$3,715.35	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,548.13	Professional		$1,230.27	$1,778.28	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,388.44	Professional		$1,202.26	$1,584.89	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,737.80	Professional		$676.08	$1,023.29	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,511.89	Professional		$1,096.48	$1,445.44	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $42,657.95 / $42,657.95	Facility		$10,000.00	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,471.29 / $10,471.29	Professional		$9,120.11	$10,471.29	$10,471.29
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 $1,230.27 / $1,584.89 / $2,511.89	Facility		$1,230.27	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,388.44	Professional		$1,148.15	$1,584.89	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,513.56	Professional		$851.14	$1,148.15	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $3,630.78	Professional		$1,023.29	$1,412.54	$3,630.78