Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $5,128.61	Professional		$891.25	$1,122.02	$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 $977.24 / $1,380.38 / $2,884.03	Professional		$977.24	$1,380.38	$2,884.03
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 $794.33 / $1,148.15 / $2,511.89	Professional		$794.33	$1,148.15	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,454.71	Professional		$851.14	$1,148.15	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,258.93	Professional		$741.31	$1,047.13	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,317.64 / $8,317.64	Professional		$7,585.78	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,995.26	Facility		$954.99	$1,230.27	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,511.89	Professional		$831.76	$1,148.15	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,584.89	Professional		$851.14	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,691.53	Professional		$776.25	$1,071.52	$2,691.53