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 $933.25 / $1,148.15 / $4,677.35	Professional		$933.25	$1,148.15	$4,677.35
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 $1,318.26 / $1,819.70 / $3,467.37	Professional		$1,318.26	$1,819.70	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,090.30	Professional		$1,023.29	$1,445.44	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,754.23	Professional		$977.24	$1,202.26	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Professional		$870.96	$870.96	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,905.46	Professional		$758.58	$1,000.00	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
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 / $1,348.96 / $2,238.72	Facility		$977.24	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,754.23	Professional		$977.24	$1,202.26	$2,754.23
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 $794.33 / $1,202.26 / $1,862.09	Professional		$794.33	$1,202.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,454.71	Professional		$812.83	$1,174.90	$2,454.71