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 $812.83 / $1,047.13 / $4,677.35	Professional		$812.83	$1,047.13	$4,677.35
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 $1,023.29 / $1,479.11 / $2,951.21	Professional		$1,023.29	$1,479.11	$2,951.21
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 $891.25 / $1,288.25 / $2,511.89	Professional		$891.25	$1,288.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,344.23	Professional		$891.25	$1,122.02	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,288.25	Professional		$851.14	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,949.84	Professional		$812.83	$1,071.52	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,182.57	Facility		$54.95	$56.23	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,762.47 / $7,762.47	Professional		$6,309.57	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,995.26	Facility		$870.96	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,344.23	Professional		$891.25	$1,122.02	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,862.09	Professional		$851.14	$1,202.26	$1,862.09
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 $724.44 / $1,023.29 / $2,511.89	Professional		$724.44	$1,023.29	$2,511.89