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 $891.25 / $1,071.52 / $5,623.41	Professional		$891.25	$1,071.52	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,884.03	Professional		$1,071.52	$1,479.11	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,951.21	Professional		$1,071.52	$1,513.56	$2,951.21
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 $977.24 / $1,288.25 / $2,630.27	Professional		$977.24	$1,288.25	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,202.26 / $1,621.81	Professional		$537.03	$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 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,511.38 / $8,511.38	Professional		$7,762.47	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Facility		$1,000.00	$1,288.25	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,630.27	Professional		$977.24	$1,318.26	$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 $676.08 / $954.99 / $1,230.27	Professional		$676.08	$954.99	$1,230.27
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 $758.58 / $1,023.29 / $2,187.76	Professional		$758.58	$1,023.29	$2,187.76