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 $891.25 / $1,202.26 / $4,466.84	Professional		$891.25	$1,202.26	$4,466.84
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 $1,412.54 / $1,995.26 / $3,801.89	Professional		$1,412.54	$1,995.26	$3,801.89
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 $1,047.13 / $1,513.56 / $3,388.44	Professional		$1,047.13	$1,513.56	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,818.38	Professional		$1,023.29	$1,258.93	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,348.96	Professional		$954.99	$1,047.13	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,290.87	Professional		$891.25	$1,148.15	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,089.30	Facility		$1,096.48	$1,380.38	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,818.38	Professional		$1,000.00	$1,258.93	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,630.27	Professional		$851.14	$1,202.26	$2,630.27