Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,698.24 / $5,248.07	Professional		$177.83	$1,698.24	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $3,311.31 / $6,760.83	Professional		$354.81	$3,311.31	$6,760.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,000.00 / $3,981.07	Professional		$218.78	$1,000.00	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $616.60 / $3,801.89	Professional		$208.93	$616.60	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,584.89 / $2,951.21	Professional		$165.96	$1,584.89	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,548.82 / $3,467.37	Professional		$158.49	$1,548.82	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $14,791.08 / $14,791.08	Professional		$12,589.25	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,398.83	Professional		$1,445.44	$1,445.44	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,412.54 / $3,235.94	Facility		$186.21	$1,412.54	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $602.56 / $3,981.07	Professional		$208.93	$602.56	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $6,456.54	Professional		$575.44	$575.44	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,041.74 / $2,754.23	Professional		$151.36	$2,041.74	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,348.96 / $3,630.78	Professional		$173.78	$1,348.96	$3,630.78