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 $794.33 / $1,096.48 / $5,248.07	Professional		$794.33	$1,096.48	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $17,782.79	Facility		$4,897.79	$10,715.19	$17,782.79
Anthem BCBS 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
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 $891.25 / $1,288.25 / $2,630.27	Professional		$891.25	$1,288.25	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,454.71	Professional		$851.14	$1,174.90	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,318.26	Professional		$724.44	$1,096.48	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,238.72	Professional		$912.01	$1,230.27	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,912.51 / $8,912.51	Professional		$6,918.31	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,995.26	Facility		$977.24	$1,258.93	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,511.89	Professional		$851.14	$1,148.15	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,584.89	Professional		$870.96	$1,096.48	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,754.23	Professional		$776.25	$1,096.48	$2,754.23