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 $1,047.13 / $1,288.25 / $4,365.16	Professional		$1,047.13	$1,288.25	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,691.53	Professional		$1,122.02	$1,445.44	$2,691.53
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 $1,023.29 / $1,479.11 / $2,818.38	Professional		$1,023.29	$1,479.11	$2,818.38
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 $954.99 / $1,412.54 / $2,691.53	Professional		$954.99	$1,412.54	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,584.89	Professional		$724.44	$1,096.48	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,398.83	Professional		$1,000.00	$1,230.27	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,232.93 / $10,232.93	Professional		$8,511.38	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Facility		$1,096.48	$1,479.11	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,951.21	Professional		$912.01	$1,412.54	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,548.82	Professional		$912.01	$1,122.02	$1,548.82
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 $933.25 / $1,230.27 / $2,398.83	Professional		$933.25	$1,230.27	$2,398.83