Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $4,168.69	Professional		$912.01	$1,412.54	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $3,162.28	Professional		$1,071.52	$1,479.11	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,623.41 / $16,982.44	Facility		$66.07	$5,623.41	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,691.53	Professional		$912.01	$1,202.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,511.89	Professional		$870.96	$1,174.90	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,288.25	Professional		$676.08	$1,047.13	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,951.21	Professional		$851.14	$1,148.15	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,000.00	Professional		$8,709.64	$8,709.64	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,698.24	Facility		$891.25	$1,148.15	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,511.89	Professional		$870.96	$1,174.90	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,445.44	Professional		$851.14	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,302.69 / $25,703.96	Facility		$6,918.31	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,089.30	Professional		$758.58	$1,047.13	$2,089.30