Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $5,623.41	Professional		$912.01	$1,122.02	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,019.95	Professional		$1,174.90	$1,548.82	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,818.38	Professional		$1,023.29	$1,479.11	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,754.23	Professional		$977.24	$1,288.25	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,479.11	Professional		$831.76	$1,096.48	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,089.30	Professional		$870.96	$1,148.15	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
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 $977.24 / $1,318.26 / $2,290.87	Facility		$977.24	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,691.53	Professional		$954.99	$1,318.26	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,778.28	Professional		$891.25	$1,202.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,238.72	Professional		$794.33	$1,071.52	$2,238.72