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 $831.76 / $1,047.13 / $5,370.32	Professional		$831.76	$1,047.13	$5,370.32
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 $831.76 / $1,288.25 / $2,691.53	Professional		$831.76	$1,288.25	$2,691.53
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 $912.01 / $1,318.26 / $2,630.27	Professional		$912.01	$1,318.26	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $4,897.79	Professional		$3,801.89	$4,073.80	$4,897.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,548.82	Professional		$467.74	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
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 $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
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 $977.24 / $1,230.27 / $1,862.09	Facility		$977.24	$1,230.27	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,630.27	Professional		$1,023.29	$1,995.26	$2,630.27
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 $588.84 / $812.83 / $1,071.52	Professional		$588.84	$812.83	$1,071.52
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 $724.44 / $954.99 / $1,995.26	Professional		$724.44	$954.99	$1,995.26