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 $1,000.00 / $1,230.27 / $5,011.87	Professional		$1,000.00	$1,230.27	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,801.89	Professional		$1,348.96	$1,949.84	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,311.31	Professional		$1,071.52	$1,548.82	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,884.03	Professional		$1,047.13	$1,318.26	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,412.54	Professional		$933.25	$1,122.02	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,041.74	Professional		$812.83	$1,071.52	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
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 $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,290.87	Facility		$1,047.13	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,884.03	Professional		$1,047.13	$1,318.26	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $2,398.83	Professional		$851.14	$1,548.82	$2,398.83
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 $870.96 / $1,258.93 / $2,691.53	Professional		$870.96	$1,258.93	$2,691.53