Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $5,128.61	Professional		$741.31	$912.01	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,818.38	Professional		$776.25	$1,096.48	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $9,332.54	Facility		$66.07	$3,162.28	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,398.83	Professional		$776.25	$1,023.29	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,290.87	Professional		$812.83	$1,047.13	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,202.26	Professional		$645.65	$1,000.00	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,995.26	Professional		$794.33	$1,071.52	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $45,708.82 / $45,708.82	Facility		$11,220.18	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,479.11	Facility		$794.33	$1,071.52	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,290.87	Professional		$794.33	$1,071.52	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,380.38	Professional		$812.83	$954.99	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $21,379.62	Facility		$5,623.41	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,949.84	Professional		$707.95	$954.99	$1,949.84