Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $25,703.96	Facility		$4,897.79	$10,715.19	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $3,890.45	Professional		$812.83	$1,122.02	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,951.21	Professional		$1,071.52	$1,513.56	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $12,882.50	Facility		$61.66	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,630.27	Professional		$912.01	$1,348.96	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,398.83	Professional		$851.14	$1,122.02	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,071.52	Professional		$707.95	$891.25	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,862.09	Professional		$758.58	$1,000.00	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,778.28	Facility		$891.25	$1,174.90	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,398.83	Professional		$851.14	$1,122.02	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,202.26	Professional		$707.95	$912.01	$1,202.26
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 $741.31 / $1,023.29 / $2,630.27	Professional		$741.31	$1,023.29	$2,630.27