Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $5,128.61	Professional		$851.14	$1,096.48	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,090.30	Professional		$1,122.02	$1,548.82	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,630.27	Professional		$851.14	$1,258.93	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,454.71	Professional		$870.96	$1,148.15	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,148.15	Professional		$794.33	$933.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,949.84	Professional		$776.25	$1,047.13	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$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 $870.96 / $1,174.90 / $1,862.09	Facility		$870.96	$1,174.90	$1,862.09
Providence 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
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 $758.58 / $1,023.29 / $1,348.96	Professional		$758.58	$1,023.29	$1,348.96
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 $758.58 / $1,047.13 / $2,691.53	Professional		$758.58	$1,047.13	$2,691.53