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 $741.31 / $891.25 / $4,786.30	Professional		$741.31	$891.25	$4,786.30
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 $891.25 / $1,174.90 / $2,344.23	Professional		$891.25	$1,174.90	$2,344.23
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 $891.25 / $1,258.93 / $2,454.71	Professional		$891.25	$1,258.93	$2,454.71
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 $794.33 / $1,023.29 / $2,187.76	Professional		$794.33	$1,023.29	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $1,380.38	Professional		$398.11	$1,000.00	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,862.09	Professional		$794.33	$1,047.13	$1,862.09
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 $6,025.60 / $7,244.36 / $7,244.36	Professional		$6,025.60	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,621.81	Facility		$851.14	$1,096.48	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,187.76	Professional		$794.33	$1,071.52	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $933.25	Professional		$501.19	$707.95	$933.25
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 $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80