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 $1,047.13 / $1,288.25 / $5,888.44	Professional		$1,047.13	$1,288.25	$5,888.44
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 $1,258.93 / $1,737.80 / $3,467.37	Professional		$1,258.93	$1,737.80	$3,467.37
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 $1,096.48 / $1,621.81 / $3,162.28	Professional		$1,096.48	$1,621.81	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,019.95	Professional		$1,071.52	$1,412.54	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,445.44	Professional		$977.24	$1,096.48	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,187.76	Professional		$933.25	$1,230.27	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $9,120.11 / $9,120.11	Professional		$8,511.38	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,398.83	Facility		$1,148.15	$1,479.11	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,884.03	Professional		$1,047.13	$1,380.38	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,089.30	Professional		$977.24	$1,348.96	$2,089.30
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 $912.01 / $1,318.26 / $3,090.30	Professional		$912.01	$1,318.26	$3,090.30