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 $616.60 / $776.25 / $3,801.89	Professional		$616.60	$776.25	$3,801.89
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 $776.25 / $1,023.29 / $1,949.84	Professional		$776.25	$1,023.29	$1,949.84
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 $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,778.28	Professional		$660.69	$851.14	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,000.00	Professional		$501.19	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,445.44	Professional		$602.56	$776.25	$1,445.44
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 $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,479.11	Facility		$676.08	$870.96	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Professional		$660.69	$870.96	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,096.48	Professional		$602.56	$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 $524.81 / $691.83 / $1,445.44	Professional		$524.81	$691.83	$1,445.44