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 $1,023.29 / $1,202.26 / $4,677.35	Professional		$1,023.29	$1,202.26	$4,677.35
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 $1,230.27 / $1,584.89 / $2,818.38	Professional		$1,230.27	$1,584.89	$2,818.38
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 $1,258.93 / $1,737.80 / $3,162.28	Professional		$1,258.93	$1,737.80	$3,162.28
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 $1,071.52 / $1,513.56 / $2,691.53	Professional		$1,071.52	$1,513.56	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,479.11	Professional		$977.24	$1,122.02	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,238.72	Professional		$954.99	$1,148.15	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,549.93 / $9,549.93	Professional		$7,762.47	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,344.23	Facility		$1,047.13	$1,412.54	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,818.38	Professional		$1,023.29	$1,513.56	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,698.24	Professional		$912.01	$1,258.93	$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 $912.01 / $1,318.26 / $2,344.23	Professional		$912.01	$1,318.26	$2,344.23