Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $15,848.93	Facility		$954.99	$3,715.35	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $4,786.30	Professional		$954.99	$1,584.89	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,467.37	Professional		$1,174.90	$1,737.80	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,801.89	Professional		$1,348.96	$1,949.84	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,818.38	Professional		$954.99	$1,348.96	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,380.38	Professional		$1,071.52	$1,071.52	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,344.23	Professional		$954.99	$1,258.93	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,762.47	Facility		$54.95	$56.23	$7,762.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $10,232.93 / $10,232.93	Professional		$8,128.31	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,137.96	Facility		$1,000.00	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,951.21	Professional		$933.25	$1,348.96	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $18,620.87	Facility		$1,949.84	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,951.21	Professional		$954.99	$1,318.26	$2,951.21