Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $6,025.60	Professional		$812.83	$1,000.00	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $3,090.30	Professional		$851.14	$1,230.27	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $10,964.78	Facility		$66.07	$2,511.89	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,691.53	Professional		$851.14	$1,148.15	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Professional		$891.25	$1,174.90	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,348.96	Professional		$707.95	$1,071.52	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,137.96	Professional		$870.96	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $33,884.42 / $33,884.42	Facility		$8,128.31	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
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 $870.96 / $1,174.90 / $1,659.59	Facility		$870.96	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Professional		$891.25	$1,174.90	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,513.56	Professional		$870.96	$1,071.52	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,137.96	Professional		$776.25	$1,047.13	$2,137.96