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 $1,174.90 / $1,479.11 / $4,786.30	Professional		$1,174.90	$1,479.11	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,019.95	Professional		$1,258.93	$1,621.81	$3,019.95
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 $1,096.48 / $1,621.81 / $3,090.30	Professional		$1,096.48	$1,621.81	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,737.80	Professional		$794.33	$1,202.26	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,691.53	Professional		$1,122.02	$1,348.96	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $11,481.54	Professional		$9,332.54	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,630.27	Facility		$1,230.27	$1,659.59	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,388.44	Professional		$1,000.00	$1,621.81	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,698.24	Professional		$1,000.00	$1,230.27	$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 $1,047.13 / $1,412.54 / $2,691.53	Professional		$1,047.13	$1,412.54	$2,691.53