Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,379.62	Facility		$4,168.69	$10,471.29	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $4,365.16	Professional		$977.24	$1,412.54	$4,365.16
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 $1,202.26 / $1,621.81 / $3,162.28	Professional		$1,202.26	$1,621.81	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,079.46	Facility		$66.07	$2,754.23	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,754.23	Professional		$977.24	$1,412.54	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,818.38	Professional		$1,000.00	$1,288.25	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,380.38	Professional		$851.14	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,137.96	Professional		$851.14	$1,122.02	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,128.31	Facility		$54.95	$56.23	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,187.76	Facility		$1,047.13	$1,380.38	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,630.27	Professional		$954.99	$1,288.25	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,819.70	Professional		$851.14	$1,174.90	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,818.38	Professional		$851.14	$1,174.90	$2,818.38