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 / $1,548.82 / $5,754.40	Professional		$1,318.26	$1,548.82	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,630.78	Professional		$1,621.81	$2,089.30	$3,630.78
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 $1,584.89 / $2,187.76 / $3,981.07	Professional		$1,584.89	$2,187.76	$3,981.07
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 $1,348.96 / $1,949.84 / $3,467.37	Professional		$1,348.96	$1,949.84	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,905.46	Professional		$1,258.93	$1,445.44	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,884.03	Professional		$1,230.27	$1,479.11	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,302.69 / $12,302.69	Professional		$10,000.00	$12,302.69	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,090.30	Facility		$1,348.96	$1,819.70	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,630.78	Professional		$1,258.93	$1,949.84	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,137.96	Professional		$1,174.90	$1,621.81	$2,137.96
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 $1,174.90 / $1,698.24 / $2,951.21	Professional		$1,174.90	$1,698.24	$2,951.21