Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $21,379.62	Facility		$4,073.80	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $6,456.54	Professional		$1,071.52	$1,412.54	$6,456.54
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 $1,479.11 / $2,041.74 / $3,981.07	Professional		$1,479.11	$2,041.74	$3,981.07
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 $1,258.93 / $1,819.70 / $3,548.13	Professional		$1,258.93	$1,819.70	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,162.28	Professional		$1,148.15	$1,479.11	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,584.89	Professional		$645.65	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,454.71	Professional		$1,000.00	$1,318.26	$2,454.71
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 $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,344.23	Facility		$1,174.90	$1,548.82	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,162.28	Professional		$1,122.02	$1,513.56	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,148.15	Professional		$645.65	$954.99	$1,148.15
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 $1,000.00 / $1,348.96 / $3,467.37	Professional		$1,000.00	$1,348.96	$3,467.37