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 / $1,584.89 / $5,128.61	Professional		$1,288.25	$1,584.89	$5,128.61
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 $1,318.26 / $1,737.80 / $3,311.31	Professional		$1,318.26	$1,737.80	$3,311.31
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 $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37
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 $1,148.15 / $1,737.80 / $3,311.31	Professional		$1,148.15	$1,737.80	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,995.26	Professional		$812.83	$1,230.27	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,951.21	Professional		$1,258.93	$1,548.82	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,589.25 / $12,589.25	Professional		$10,471.29	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
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 $1,071.52 / $1,778.28 / $3,715.35	Professional		$1,071.52	$1,778.28	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,737.80	Professional		$1,023.29	$1,380.38	$1,737.80
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 $1,148.15 / $1,548.82 / $2,951.21	Professional		$1,148.15	$1,548.82	$2,951.21