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 $724.44 / $912.01 / $4,466.84	Professional		$724.44	$912.01	$4,466.84
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 / $2,398.83	Professional		$870.96	$1,202.26	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,888.44 / $16,982.44	Facility		$66.07	$5,888.44	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,290.87	Professional		$831.76	$1,202.26	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $870.96 / $1,174.90	Professional		$389.05	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,698.24	Professional		$691.83	$912.01	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $83,176.38	Facility		$42,657.95	$42,657.95	$83,176.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,079.46 / $7,079.46	Professional		$5,888.44	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,584.89	Facility		$794.33	$1,023.29	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,137.96	Professional		$776.25	$1,023.29	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $870.96	Professional		$489.78	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $38,904.51	Facility		$9,772.37	$18,197.01	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80