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 $1,202.26 / $1,445.44 / $5,248.07	Professional		$1,202.26	$1,445.44	$5,248.07
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 $1,380.38 / $1,778.28 / $3,162.28	Professional		$1,380.38	$1,778.28	$3,162.28
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 $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37
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 $1,202.26 / $1,659.59 / $3,090.30	Professional		$1,202.26	$1,659.59	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,819.70	Professional		$794.33	$1,202.26	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,691.53	Professional		$1,148.15	$1,412.54	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
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 $1,258.93 / $1,698.24 / $2,754.23	Facility		$1,258.93	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,311.31	Professional		$1,174.90	$1,659.59	$3,311.31
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 / $1,258.93 / $1,698.24	Professional		$1,000.00	$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 $1,096.48 / $1,445.44 / $2,691.53	Professional		$1,096.48	$1,445.44	$2,691.53