Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $5,128.61	Professional		$794.33	$1,000.00	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,754.23	Professional		$1,023.29	$1,445.44	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $9,332.54	Facility		$66.07	$4,073.80	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,454.71	Professional		$933.25	$1,202.26	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,348.96	Professional		$831.76	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,949.84	Professional		$831.76	$1,071.52	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,949.84	Facility		$933.25	$1,202.26	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,454.71	Professional		$912.01	$1,230.27	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Professional		$831.76	$1,148.15	$1,778.28
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 $707.95 / $977.24 / $2,041.74	Professional		$707.95	$977.24	$2,041.74