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 $851.14 / $1,096.48 / $4,466.84	Professional		$851.14	$1,096.48	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $3,311.31	Professional		$912.01	$1,659.59	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,025.60 / $16,982.44	Facility		$66.07	$6,025.60	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,951.21	Professional		$954.99	$1,380.38	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,454.71	Professional		$933.25	$1,122.02	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,230.27	Professional		$645.65	$851.14	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,698.24	Professional		$724.44	$933.25	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $7,585.78	Professional		$6,165.95	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,659.59	Facility		$933.25	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,511.89	Professional		$933.25	$1,148.15	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,380.38	Professional		$691.83	$933.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,344.23	Professional		$776.25	$1,096.48	$2,344.23