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 $1,096.48 / $1,412.54 / $6,025.60	Professional		$1,096.48	$1,412.54	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,981.07	Professional		$1,445.44	$1,949.84	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,467.37	Professional		$1,202.26	$1,737.80	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,090.30	Professional		$1,174.90	$1,479.11	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,548.82	Professional		$1,047.13	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,454.71	Professional		$977.24	$1,288.25	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,000.00 / $10,000.00	Professional		$9,772.37	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,630.27	Facility		$1,174.90	$1,548.82	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,090.30	Professional		$1,122.02	$1,479.11	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,238.72	Professional		$1,047.13	$1,445.44	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $3,388.44	Professional		$954.99	$1,348.96	$3,388.44