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 $1,318.26 / $1,584.89 / $5,495.41	Professional		$1,318.26	$1,584.89	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,182.57 / $22,387.21	Facility		$7,413.10	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,388.44	Professional		$1,380.38	$1,819.70	$3,388.44
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 $1,202.26 / $1,698.24 / $3,311.31	Professional		$1,202.26	$1,698.24	$3,311.31
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 $1,174.90 / $1,778.28 / $3,388.44	Professional		$1,174.90	$1,778.28	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,905.46	Professional		$851.14	$1,288.25	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,951.21	Professional		$1,230.27	$1,479.11	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,589.25 / $12,589.25	Professional		$10,232.93	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,951.21	Facility		$1,348.96	$1,778.28	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,630.78	Professional		$1,148.15	$1,778.28	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,819.70	Professional		$1,071.52	$1,380.38	$1,819.70
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 $1,148.15 / $1,584.89 / $2,951.21	Professional		$1,148.15	$1,584.89	$2,951.21