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 / $1,318.26 / $5,495.41	Professional		$912.01	$1,318.26	$5,495.41
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 $1,148.15 / $1,584.89 / $3,235.94	Professional		$1,148.15	$1,584.89	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,248.07 / $16,982.44	Facility		$66.07	$5,248.07	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,884.03	Professional		$1,000.00	$1,318.26	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,570.40	Professional		$933.25	$1,202.26	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,288.25	Professional		$676.08	$1,071.52	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,884.03	Professional		$851.14	$1,148.15	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $33,884.42 / $33,884.42	Facility		$8,128.31	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
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 $912.01 / $1,202.26 / $1,698.24	Facility		$912.01	$1,202.26	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,570.40	Professional		$933.25	$1,230.27	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
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 $812.83 / $1,096.48 / $2,137.96	Professional		$812.83	$1,096.48	$2,137.96