Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $5,370.32	Professional		$1,096.48	$1,380.38	$5,370.32
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 $1,548.82 / $2,137.96 / $4,168.69	Professional		$1,548.82	$2,137.96	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,762.47	Facility		$66.07	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,630.78	Professional		$1,288.25	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,235.94	Professional		$1,202.26	$1,548.82	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,621.81	Professional		$660.69	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,511.89	Professional		$1,023.29	$1,348.96	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,454.71	Facility		$1,202.26	$1,584.89	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,235.94	Professional		$1,148.15	$1,548.82	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,174.90	Professional		$660.69	$977.24	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $3,467.37	Professional		$1,023.29	$1,380.38	$3,467.37