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 $707.95 / $891.25 / $4,365.16	Professional		$707.95	$891.25	$4,365.16
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 $870.96 / $1,202.26 / $2,344.23	Professional		$870.96	$1,202.26	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $15,135.61	Facility		$66.07	$4,786.30	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,238.72	Professional		$794.33	$1,148.15	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,089.30	Professional		$794.33	$1,000.00	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,174.90	Professional		$524.81	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,698.24	Professional		$707.95	$933.25	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $42,657.95	Facility		$19,952.62	$19,952.62	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,918.31 / $6,918.31	Professional		$5,754.40	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,584.89	Facility		$794.33	$1,047.13	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,089.30	Professional		$776.25	$1,047.13	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,122.02	Professional		$660.69	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,737.80	Professional		$616.60	$831.76	$1,737.80