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 $1,288.25 / $1,513.56 / $5,495.41	Professional		$1,288.25	$1,513.56	$5,495.41
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 $1,318.26 / $1,778.28 / $3,235.94	Professional		$1,318.26	$1,778.28	$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 $1,318.26 / $1,862.09 / $3,548.13	Professional		$1,318.26	$1,862.09	$3,548.13
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 $1,258.93 / $1,737.80 / $3,235.94	Professional		$1,258.93	$1,737.80	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,862.09	Professional		$1,023.29	$1,445.44	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,818.38	Professional		$1,202.26	$1,445.44	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,022.64 / $12,022.64	Professional		$11,220.18	$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 $1,348.96 / $1,819.70 / $2,884.03	Facility		$1,348.96	$1,819.70	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,467.37	Professional		$1,230.27	$1,737.80	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,187.76	Professional		$1,174.90	$1,513.56	$2,187.76
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 $1,122.02 / $1,513.56 / $2,818.38	Professional		$1,122.02	$1,513.56	$2,818.38