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 $1,230.27 / $1,513.56 / $5,011.87	Professional		$1,230.27	$1,513.56	$5,011.87
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 $1,288.25 / $1,659.59 / $3,235.94	Professional		$1,288.25	$1,659.59	$3,235.94
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 / $1,737.80 / $3,311.31	Professional		$1,202.26	$1,737.80	$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 $1,122.02 / $1,659.59 / $3,162.28	Professional		$1,122.02	$1,659.59	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,819.70	Professional		$891.25	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,754.23	Professional		$1,148.15	$1,412.54	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $12,022.64	Professional		$9,772.37	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,754.23	Facility		$1,288.25	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,467.37	Professional		$1,047.13	$1,659.59	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,905.46	Professional		$1,122.02	$1,348.96	$1,905.46
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 / $2,754.23	Professional		$1,096.48	$1,445.44	$2,754.23