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 $812.83 / $1,000.00 / $5,011.87	Professional		$812.83	$1,000.00	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,691.53	Professional		$1,000.00	$1,318.26	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,964.78	Facility		$66.07	$4,168.69	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,454.71	Professional		$870.96	$1,258.93	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,570.88	Professional		$3,630.78	$3,801.89	$4,570.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,348.96	Professional		$676.08	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,949.84	Professional		$794.33	$1,071.52	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $45,708.82	Facility		$29,512.09	$29,512.09	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,943.28 / $7,943.28	Professional		$6,606.93	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,778.28	Facility		$891.25	$1,148.15	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,511.89	Professional		$912.01	$1,905.46	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,148.15	Professional		$676.08	$912.01	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,995.26	Professional		$707.95	$954.99	$1,995.26