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 $676.08 / $831.76 / $4,168.69	Professional		$676.08	$831.76	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,570.40	Professional		$954.99	$1,288.25	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $15,135.61	Facility		$66.07	$4,786.30	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,137.96	Professional		$741.31	$1,096.48	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,995.26	Professional		$724.44	$933.25	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,047.13	Professional		$645.65	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,621.81	Professional		$645.65	$870.96	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $6,456.54	Professional		$5,754.40	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Facility		$741.31	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,995.26	Professional		$707.95	$933.25	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,096.48	Professional		$630.96	$851.14	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $2,187.76	Professional		$602.56	$851.14	$2,187.76