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 / $5,623.41	Professional		$933.25	$1,174.90	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,388.44	Professional		$1,258.93	$1,737.80	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,019.95	Professional		$1,071.52	$1,548.82	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,754.23	Professional		$977.24	$1,288.25	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,288.25	Professional		$912.01	$1,023.29	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,137.96	Professional		$870.96	$1,148.15	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,912.51 / $8,912.51	Professional		$7,585.78	$8,912.51	$8,912.51
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 $1,023.29 / $1,348.96 / $2,238.72	Facility		$1,023.29	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,754.23	Professional		$977.24	$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 $831.76 / $1,148.15 / $1,548.82	Professional		$831.76	$1,148.15	$1,548.82
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 $851.14 / $1,174.90 / $3,019.95	Professional		$851.14	$1,174.90	$3,019.95