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 $1,023.29 / $1,380.38 / $5,888.44	Professional		$1,023.29	$1,380.38	$5,888.44
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 $1,258.93 / $1,698.24 / $3,388.44	Professional		$1,258.93	$1,698.24	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,019.95	Professional		$1,023.29	$1,513.56	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,019.95	Professional		$1,071.52	$1,380.38	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,318.26	Professional		$549.54	$812.83	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,344.23	Professional		$912.01	$1,230.27	$2,344.23
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 $7,943.28 / $9,120.11 / $9,120.11	Professional		$7,943.28	$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 $1,122.02 / $1,380.38 / $2,137.96	Facility		$1,122.02	$1,380.38	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,884.03	Professional		$1,023.29	$1,380.38	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,230.27	Professional		$691.83	$933.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $20,892.96	Facility		$1,995.26	$6,309.57	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $3,090.30	Professional		$912.01	$1,258.93	$3,090.30