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 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $5,128.61	Professional		$891.25	$1,174.90	$5,128.61
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 $1,202.26 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,691.53	Professional		$933.25	$1,348.96	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,570.40	Professional		$954.99	$1,202.26	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,258.93	Professional		$676.08	$1,023.29	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $8,511.38	Professional		$7,244.36	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,995.26	Facility		$1,047.13	$1,318.26	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,570.40	Professional		$933.25	$1,202.26	$2,570.40
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 $676.08 / $954.99 / $1,148.15	Professional		$676.08	$954.99	$1,148.15
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 $794.33 / $1,122.02 / $2,754.23	Professional		$794.33	$1,122.02	$2,754.23