Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $21,379.62	Facility		$4,073.80	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $3,630.78	Professional		$588.84	$724.44	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,949.84	Professional		$537.03	$933.25	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,819.70	Professional		$645.65	$933.25	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $954.99	Professional		$524.81	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,445.44	Professional		$588.84	$776.25	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,168.69	Facility		$54.95	$56.23	$4,168.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Facility		$645.65	$851.14	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,122.02	Professional		$575.44	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,445.44	Professional		$512.86	$676.08	$1,445.44