Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,890.45	Professional		$891.25	$1,071.52	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,511.89	Professional		$1,071.52	$1,412.54	$2,511.89
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 $1,023.29 / $1,445.44 / $2,691.53	Professional		$1,023.29	$1,445.44	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,454.71	Professional		$977.24	$1,258.93	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,380.38	Professional		$794.33	$1,047.13	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,041.74	Professional		$870.96	$1,071.52	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,511.38 / $8,511.38	Professional		$7,079.46	$8,511.38	$8,511.38
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 $977.24 / $1,318.26 / $2,137.96	Facility		$977.24	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,511.89	Professional		$954.99	$1,288.25	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,698.24	Professional		$851.14	$1,174.90	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,041.74	Professional		$812.83	$1,096.48	$2,041.74