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 $1,412.54 / $1,659.59 / $5,754.40	Professional		$1,412.54	$1,659.59	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $18,620.87	Facility		$6,760.83	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,630.78	Professional		$1,479.11	$1,949.84	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,981.07	Professional		$1,445.44	$2,089.30	$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 $1,230.27 / $1,905.46 / $3,630.78	Professional		$1,230.27	$1,905.46	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,041.74	Professional		$1,096.48	$1,584.89	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,019.95	Professional		$1,288.25	$1,584.89	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,882.50 / $12,882.50	Professional		$11,220.18	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,090.30	Facility		$1,445.44	$1,905.46	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $3,890.45	Professional		$1,148.15	$1,905.46	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,344.23	Professional		$1,288.25	$1,621.81	$2,344.23
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 $1,230.27 / $1,659.59 / $3,162.28	Professional		$1,230.27	$1,659.59	$3,162.28