Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $21,379.62	Facility		$4,073.80	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $3,981.07	Professional		$630.96	$794.33	$3,981.07
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 $812.83 / $1,096.48 / $2,137.96	Professional		$812.83	$1,096.48	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,762.47	Facility		$66.07	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,041.74	Professional		$724.44	$1,047.13	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,862.09	Professional		$691.83	$891.25	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Professional		$501.19	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,548.82	Professional		$630.96	$831.76	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $13,803.84	Facility		$1,995.26	$1,995.26	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $6,309.57	Professional		$5,248.07	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,412.54	Facility		$707.95	$933.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,862.09	Professional		$676.08	$933.25	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,096.48	Professional		$630.96	$758.58	$1,096.48
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 $562.34 / $758.58 / $1,621.81	Professional		$562.34	$758.58	$1,621.81