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 $794.33 / $1,023.29 / $4,168.69	Professional		$794.33	$1,023.29	$4,168.69
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 / $1,584.89 / $3,090.30	Professional		$1,174.90	$1,584.89	$3,090.30
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 $912.01 / $1,318.26 / $2,818.38	Professional		$912.01	$1,318.26	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,290.87	Professional		$870.96	$1,047.13	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,023.29	Professional		$724.44	$794.33	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,698.24	Professional		$676.08	$891.25	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,905.46	Facility		$870.96	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,344.23	Professional		$851.14	$1,047.13	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,548.82	Professional		$724.44	$1,000.00	$1,548.82
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 $707.95 / $1,023.29 / $2,187.76	Professional		$707.95	$1,023.29	$2,187.76