Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $6,606.93	Professional		$1,148.15	$1,548.82	$6,606.93
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 $1,174.90 / $2,089.30 / $4,466.84	Professional		$1,174.90	$2,089.30	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,981.07	Professional		$1,174.90	$1,698.24	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,388.44	Professional		$1,202.26	$1,513.56	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,949.84	Professional		$1,047.13	$1,174.90	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,290.87	Professional		$1,000.00	$1,288.25	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,511.89	Facility		$1,202.26	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,388.44	Professional		$1,148.15	$1,513.56	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,238.72	Professional		$1,047.13	$1,445.44	$2,238.72
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 $1,047.13 / $1,445.44 / $3,311.31	Professional		$1,047.13	$1,445.44	$3,311.31