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 $1,548.82 / $1,905.46 / $6,165.95	Professional		$1,548.82	$1,905.46	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,182.57 / $22,387.21	Facility		$7,244.36	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,073.80	Professional		$1,698.24	$2,187.76	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,365.16	Professional		$1,584.89	$2,290.87	$4,365.16
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 $1,412.54 / $2,089.30 / $3,981.07	Professional		$1,412.54	$2,089.30	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,290.87	Professional		$1,096.48	$1,659.59	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,467.37	Professional		$1,445.44	$1,778.28	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,848.93	Facility		$54.95	$56.23	$15,848.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $15,135.61 / $15,135.61	Professional		$12,302.69	$15,135.61	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,467.37	Facility		$1,621.81	$2,187.76	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $4,365.16	Professional		$1,318.26	$2,089.30	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,344.23	Professional		$1,380.38	$1,659.59	$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 $1,380.38 / $1,819.70 / $3,548.13	Professional		$1,380.38	$1,819.70	$3,548.13