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 $1,071.52 / $1,318.26 / $5,370.32	Professional		$1,071.52	$1,318.26	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,819.70 / $3,801.89	Professional		$724.44	$1,819.70	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,659.59 / $17,378.01	Facility		$66.07	$1,659.59	$17,378.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $2,290.87	Professional		$602.56	$891.25	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,951.21	Professional		$977.24	$1,318.26	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,202.26	Professional		$616.60	$776.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,995.26	Professional		$870.96	$1,122.02	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,120.11 / $9,120.11	Professional		$7,413.10	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,862.09	Facility		$933.25	$1,258.93	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,951.21	Professional		$933.25	$1,288.25	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,318.26	Professional		$776.25	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,754.23	Professional		$891.25	$1,288.25	$2,754.23