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 / $1,348.96 / $4,677.35	Professional		$1,096.48	$1,348.96	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,818.38	Professional		$1,122.02	$1,445.44	$2,818.38
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 $1,047.13 / $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 $851.14 / $1,288.25 / $1,659.59	Professional		$851.14	$1,288.25	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,511.89	Professional		$1,071.52	$1,288.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,511.89	Facility		$1,148.15	$1,548.82	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $3,162.28	Professional		$954.99	$1,513.56	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,819.70	Professional		$1,023.29	$1,288.25	$1,819.70
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 / $2,511.89	Professional		$977.24	$1,318.26	$2,511.89