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 $1,000.00 / $1,202.26 / $5,888.44	Professional		$1,000.00	$1,202.26	$5,888.44
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 $1,288.25 / $1,659.59 / $3,311.31	Professional		$1,288.25	$1,659.59	$3,311.31
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 $1,174.90 / $1,659.59 / $3,162.28	Professional		$1,174.90	$1,659.59	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,884.03	Professional		$1,122.02	$1,445.44	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $1,445.44	Professional		$467.74	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,187.76	Professional		$870.96	$1,174.90	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Facility		$1,071.52	$1,380.38	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,884.03	Professional		$1,071.52	$1,479.11	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,047.13	Professional		$588.84	$831.76	$1,047.13
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 $851.14 / $1,174.90 / $2,344.23	Professional		$851.14	$1,174.90	$2,344.23