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 $1,174.90 / $1,479.11 / $6,025.60	Professional		$1,174.90	$1,479.11	$6,025.60
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 $1,348.96 / $2,238.72 / $4,466.84	Professional		$1,348.96	$2,238.72	$4,466.84
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 $1,258.93 / $1,819.70 / $3,981.07	Professional		$1,258.93	$1,819.70	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,311.31	Professional		$1,258.93	$1,548.82	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,412.54	Professional		$891.25	$1,122.02	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,398.83	Professional		$977.24	$1,258.93	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
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 $1,230.27 / $1,659.59 / $2,511.89	Facility		$1,230.27	$1,659.59	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,388.44	Professional		$1,230.27	$1,548.82	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,905.46	Professional		$912.01	$1,258.93	$1,905.46
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 $1,023.29 / $1,479.11 / $3,162.28	Professional		$1,023.29	$1,479.11	$3,162.28