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 $758.58 / $933.25 / $4,897.79	Professional		$758.58	$933.25	$4,897.79
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 / $1,230.27 / $2,454.71	Professional		$891.25	$1,230.27	$2,454.71
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 $933.25 / $1,348.96 / $2,570.40	Professional		$933.25	$1,348.96	$2,570.40
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 $831.76 / $1,071.52 / $2,238.72	Professional		$831.76	$1,071.52	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,412.54	Professional		$446.68	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,905.46	Professional		$812.83	$1,071.52	$1,905.46
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 $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,698.24	Facility		$870.96	$1,122.02	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,238.72	Professional		$831.76	$1,096.48	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,000.00	Professional		$562.34	$776.25	$1,000.00
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 $645.65 / $870.96 / $1,862.09	Professional		$645.65	$870.96	$1,862.09