Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,471.29 / $22,908.68	Facility		$4,786.30	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $4,786.30	Professional		$851.14	$1,096.48	$4,786.30
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 $1,071.52 / $1,698.24 / $3,311.31	Professional		$1,071.52	$1,698.24	$3,311.31
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 $870.96 / $1,288.25 / $2,951.21	Professional		$870.96	$1,288.25	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,754.23	Professional		$933.25	$1,174.90	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,202.26	Professional		$758.58	$954.99	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Professional		$794.33	$1,047.13	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,943.28 / $7,943.28	Professional		$6,456.54	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,737.80	Facility		$891.25	$1,148.15	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,754.23	Professional		$933.25	$1,174.90	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,288.25	Professional		$758.58	$977.24	$1,288.25
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 $776.25 / $1,148.15 / $2,454.71	Professional		$776.25	$1,148.15	$2,454.71