Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $4,073.80	Professional		$691.83	$1,023.29	$4,073.80
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 $851.14 / $1,148.15 / $2,238.72	Professional		$851.14	$1,148.15	$2,238.72
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 $741.31 / $1,122.02 / $2,238.72	Professional		$741.31	$1,122.02	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,041.74	Professional		$758.58	$1,096.48	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,862.09	Professional		$588.84	$891.25	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,089.30	Professional		$691.83	$1,174.90	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $42,657.95	Facility		$22,387.21	$22,387.21	$42,657.95
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 $870.96 / $870.96 / $1,445.44	Professional		$870.96	$870.96	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,819.70	Facility		$794.33	$1,174.90	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,137.96	Professional		$758.58	$1,122.02	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,311.31	Professional		$2,454.71	$2,454.71	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,258.93	Professional		$630.96	$977.24	$1,258.93
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 $630.96 / $891.25 / $1,819.70	Professional		$630.96	$891.25	$1,819.70