Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $22,908.68	Facility		$3,981.07	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $3,630.78	Professional		$602.56	$707.95	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,137.96	Professional		$758.58	$1,096.48	$2,137.96
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 $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,778.28	Professional		$676.08	$831.76	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,023.29	Professional		$741.31	$758.58	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,513.56	Professional		$630.96	$831.76	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,165.95	Facility		$54.95	$56.23	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,584.89	Facility		$691.83	$912.01	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,778.28	Professional		$630.96	$831.76	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,584.89	Professional		$676.08	$1,047.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,905.46	Professional		$537.03	$741.31	$1,905.46