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 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $3,467.37	Professional		$575.44	$707.95	$3,467.37
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 $758.58 / $1,000.00 / $1,949.84	Professional		$758.58	$1,000.00	$1,949.84
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 $707.95 / $1,023.29 / $1,995.26	Professional		$707.95	$1,023.29	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,698.24	Professional		$630.96	$831.76	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $954.99	Professional		$489.78	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,445.44	Professional		$562.34	$741.31	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,754.40	Professional		$5,370.32	$5,370.32	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,348.96	Facility		$630.96	$851.14	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,659.59	Professional		$630.96	$851.14	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,047.13	Professional		$575.44	$724.44	$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 $501.19 / $691.83 / $1,412.54	Professional		$501.19	$691.83	$1,412.54