Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $6,918.31	Professional		$1,174.90	$1,513.56	$6,918.31
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 $1,621.81 / $2,238.72 / $4,466.84	Professional		$1,621.81	$2,238.72	$4,466.84
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 $1,380.38 / $1,995.26 / $3,890.45	Professional		$1,380.38	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,467.37	Professional		$1,258.93	$1,621.81	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,698.24	Professional		$691.83	$1,258.93	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,630.27	Professional		$1,071.52	$1,412.54	$2,630.27
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 $9,332.54 / $10,964.78 / $10,964.78	Professional		$9,332.54	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,570.40	Facility		$1,258.93	$1,659.59	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,467.37	Professional		$1,230.27	$1,621.81	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,258.93	Professional		$691.83	$1,047.13	$1,258.93
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 $1,071.52 / $1,445.44 / $3,715.35	Professional		$1,071.52	$1,445.44	$3,715.35