Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $6,309.57	Professional		$1,047.13	$1,318.26	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,630.78	Professional		$1,318.26	$1,949.84	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $7,943.28	Facility		$66.07	$3,388.44	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,235.94	Professional		$1,174.90	$1,698.24	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,019.95	Professional		$1,122.02	$1,479.11	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,479.11	Professional		$954.99	$1,202.26	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,511.89	Professional		$977.24	$1,318.26	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $28,840.32	Facility		$7,244.36	$7,244.36	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $10,000.00	Professional		$8,511.38	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,290.87	Facility		$1,122.02	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $3,019.95	Professional		$1,096.48	$1,513.56	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,041.74	Professional		$977.24	$1,348.96	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,511.89	Professional		$912.01	$1,230.27	$2,511.89