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 $912.01 / $1,148.15 / $4,677.35	Professional		$912.01	$1,148.15	$4,677.35
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 $1,318.26 / $1,778.28 / $3,467.37	Professional		$1,318.26	$1,778.28	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,897.79 / $16,982.44	Facility		$66.07	$4,897.79	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,090.30	Professional		$977.24	$1,412.54	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,570.40	Professional		$977.24	$1,202.26	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,202.26	Professional		$630.96	$891.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,737.80	Professional		$758.58	$977.24	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
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 $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,778.28	Facility		$977.24	$1,288.25	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,570.40	Professional		$977.24	$1,202.26	$2,570.40
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 $707.95 / $954.99 / $1,348.96	Professional		$707.95	$954.99	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,398.83	Professional		$812.83	$1,148.15	$2,398.83