Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $22,908.68	Facility		$4,168.69	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $3,890.45	Professional		$794.33	$1,023.29	$3,890.45
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 $933.25 / $1,513.56 / $3,019.95	Professional		$933.25	$1,513.56	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,659.59 / $10,964.78	Facility		$66.07	$1,659.59	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,630.27	Professional		$776.25	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,344.23	Professional		$812.83	$1,071.52	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,318.26	Professional		$741.31	$1,000.00	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,584.89	Professional		$630.96	$831.76	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,819.70	Facility		$812.83	$1,122.02	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,454.71	Professional		$794.33	$1,071.52	$2,454.71
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 $660.69 / $1,445.44 / $2,238.72	Professional		$660.69	$1,445.44	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,290.87	Professional		$741.31	$1,023.29	$2,290.87