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 $1,348.96 / $1,584.89 / $5,888.44	Professional		$1,348.96	$1,584.89	$5,888.44
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 $1,584.89 / $2,187.76 / $3,801.89	Professional		$1,584.89	$2,187.76	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,073.80	Professional		$1,548.82	$2,187.76	$4,073.80
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 $1,380.38 / $1,862.09 / $3,388.44	Professional		$1,380.38	$1,862.09	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,949.84	Professional		$1,071.52	$1,479.11	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,981.07	Professional		$1,258.93	$1,513.56	$3,981.07
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 $10,715.19 / $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 $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 $1,412.54 / $1,949.84 / $3,019.95	Facility		$1,412.54	$1,949.84	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,715.35	Professional		$1,348.96	$1,862.09	$3,715.35
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 $1,202.26 / $1,621.81 / $2,344.23	Professional		$1,202.26	$1,621.81	$2,344.23
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 $1,202.26 / $1,621.81 / $2,951.21	Professional		$1,202.26	$1,621.81	$2,951.21