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 $933.25 / $1,202.26 / $5,011.87	Professional		$933.25	$1,202.26	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,630.78	Professional		$1,348.96	$1,819.70	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,235.94	Professional		$954.99	$1,412.54	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,754.23	Professional		$977.24	$1,230.27	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,318.26	Professional		$912.01	$1,000.00	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,691.53	Professional		$851.14	$1,096.48	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,378.01	Facility		$54.95	$56.23	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
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 $1,000.00 / $1,318.26 / $2,041.74	Facility		$1,000.00	$1,318.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,754.23	Professional		$977.24	$1,230.27	$2,754.23
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 $912.01 / $1,288.25 / $1,949.84	Professional		$912.01	$1,288.25	$1,949.84
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 $831.76 / $1,174.90 / $2,570.40	Professional		$831.76	$1,174.90	$2,570.40