Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $4,677.35	Professional		$758.58	$933.25	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,454.71	Professional		$954.99	$1,258.93	$2,454.71
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 $831.76 / $1,174.90 / $2,344.23	Professional		$831.76	$1,174.90	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,137.96	Professional		$812.83	$1,047.13	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,258.93	Professional		$758.58	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,819.70	Professional		$758.58	$1,000.00	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,413.10 / $7,413.10	Professional		$7,244.36	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,778.28	Facility		$831.76	$1,096.48	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,187.76	Professional		$794.33	$1,096.48	$2,187.76
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 $758.58 / $1,071.52 / $1,621.81	Professional		$758.58	$1,071.52	$1,621.81
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 $660.69 / $891.25 / $1,862.09	Professional		$660.69	$891.25	$1,862.09