Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $6,025.60	Professional		$1,174.90	$1,584.89	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,365.16	Professional		$1,548.82	$2,187.76	$4,365.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,168.69	Professional		$1,380.38	$2,089.30	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,311.31	Professional		$1,258.93	$1,737.80	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,238.72	Professional		$1,000.00	$1,412.54	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,691.53	Professional		$1,071.52	$1,621.81	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $12,589.25	Professional		$10,715.19	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Professional		$1,258.93	$1,258.93	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,754.23	Facility		$1,258.93	$1,778.28	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,467.37	Professional		$1,202.26	$1,737.80	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,786.30	Professional		$3,981.07	$3,981.07	$4,786.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,995.26	Professional		$1,000.00	$1,479.11	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,467.37	Professional		$1,071.52	$1,548.82	$3,467.37