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 / $21,877.62	Facility		$4,168.69	$10,000.00	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $5,754.40	Professional		$891.25	$1,096.48	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,818.38	Professional		$977.24	$1,412.54	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,888.44 / $15,488.17	Facility		$66.07	$5,888.44	$15,488.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,884.03	Professional		$1,023.29	$1,479.11	$2,884.03
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 $954.99 / $1,230.27 / $2,630.27	Professional		$954.99	$1,230.27	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,202.26 / $1,621.81	Professional		$416.87	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,187.76	Professional		$912.01	$1,230.27	$2,187.76
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 $7,413.10 / $8,912.51 / $8,912.51	Professional		$7,413.10	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,949.84	Facility		$1,023.29	$1,318.26	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,630.27	Professional		$954.99	$1,288.25	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,096.48	Professional		$524.81	$741.31	$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 $758.58 / $1,023.29 / $2,137.96	Professional		$758.58	$1,023.29	$2,137.96