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 $1,096.48 / $1,412.54 / $4,570.88	Professional		$1,096.48	$1,412.54	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,818.38	Professional		$1,096.48	$1,479.11	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,884.03	Professional		$1,047.13	$1,513.56	$2,884.03
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 $1,000.00 / $1,479.11 / $2,884.03	Professional		$1,000.00	$1,479.11	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,737.80	Professional		$741.31	$1,122.02	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,570.40	Professional		$1,096.48	$1,348.96	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $10,964.78	Professional		$8,912.51	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Facility		$1,174.90	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,162.28	Professional		$933.25	$1,513.56	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
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 $977.24 / $1,318.26 / $2,570.40	Professional		$977.24	$1,318.26	$2,570.40