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 $1,023.29 / $1,288.25 / $5,495.41	Professional		$1,023.29	$1,288.25	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,890.45	Professional		$1,412.54	$1,905.46	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,311.31	Professional		$977.24	$1,412.54	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,951.21	Professional		$1,071.52	$1,288.25	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,318.26	Professional		$707.95	$891.25	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,041.74	Professional		$912.01	$1,202.26	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,995.26	Facility		$1,071.52	$1,412.54	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,951.21	Professional		$1,047.13	$1,318.26	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,513.56	Professional		$891.25	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,754.23	Professional		$891.25	$1,258.93	$2,754.23