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 $602.56 / $741.31 / $3,981.07	Professional		$602.56	$741.31	$3,981.07
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 $645.65 / $954.99 / $1,905.46	Professional		$645.65	$954.99	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,995.26	Professional		$707.95	$1,000.00	$1,995.26
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 $645.65 / $851.14 / $1,778.28	Professional		$645.65	$851.14	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $870.96 / $1,174.90	Professional		$302.00	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81
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 $5,011.87 / $6,025.60 / $6,025.60	Professional		$5,011.87	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Facility		$676.08	$912.01	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,778.28	Professional		$645.65	$891.25	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $794.33	Professional		$380.19	$537.03	$794.33
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 $512.86 / $691.83 / $1,412.54	Professional		$512.86	$691.83	$1,412.54