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 $891.25 / $1,122.02 / $5,495.41	Professional		$891.25	$1,122.02	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $17,782.79	Facility		$6,025.60	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,235.94	Professional		$1,230.27	$1,698.24	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,884.03	Professional		$1,047.13	$1,513.56	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,630.27	Professional		$977.24	$1,288.25	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,348.96	Professional		$977.24	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,089.30	Professional		$812.83	$1,071.52	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,089.30	Facility		$954.99	$1,258.93	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,630.27	Professional		$954.99	$1,318.26	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,089.30	Professional		$891.25	$1,348.96	$2,089.30
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 / $1,071.52 / $2,187.76	Professional		$776.25	$1,071.52	$2,187.76