Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,877.62	Facility		$3,981.07	$10,000.00	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $5,370.32	Professional		$1,318.26	$1,584.89	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,388.44	Professional		$1,318.26	$1,737.80	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,918.31	Facility		$63.10	$100.00	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,801.89	Professional		$1,380.38	$1,995.26	$3,801.89
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 $1,202.26 / $1,778.28 / $3,388.44	Professional		$1,202.26	$1,778.28	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $1,905.46	Professional		$912.01	$1,479.11	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,951.21	Professional		$1,230.27	$1,513.56	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,882.50 / $12,882.50	Professional		$10,471.29	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,951.21	Facility		$1,348.96	$1,819.70	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,715.35	Professional		$1,096.48	$1,778.28	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,659.59	Professional		$912.01	$1,348.96	$1,659.59
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 / $1,584.89 / $2,951.21	Professional		$1,148.15	$1,584.89	$2,951.21