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 $933.25 / $1,174.90 / $5,888.44	Professional		$933.25	$1,174.90	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $19,952.62	Facility		$6,918.31	$11,748.98	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $3,235.94	Professional		$1,071.52	$1,659.59	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $9,120.11	Facility		$63.10	$100.00	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,951.21	Professional		$977.24	$1,412.54	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,754.23	Professional		$954.99	$1,288.25	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,445.44	Professional		$1,023.29	$1,148.15	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,290.87	Professional		$954.99	$1,258.93	$2,290.87
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 $7,762.47 / $9,120.11 / $9,120.11	Professional		$7,762.47	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,041.74	Facility		$1,047.13	$1,380.38	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,754.23	Professional		$912.01	$1,288.25	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,737.80	Professional		$933.25	$1,288.25	$1,737.80
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 $831.76 / $1,148.15 / $3,019.95	Professional		$831.76	$1,148.15	$3,019.95