Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $4,073.80	Professional		$660.69	$851.14	$4,073.80
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 $851.14 / $1,174.90 / $2,187.76	Professional		$851.14	$1,174.90	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,570.40 / $7,943.28	Facility		$64.57	$2,570.40	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,089.30	Professional		$758.58	$1,071.52	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,905.46	Professional		$724.44	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,071.52	Professional		$630.96	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,819.70	Professional		$645.65	$851.14	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,548.82	Facility		$724.44	$954.99	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,905.46	Professional		$724.44	$954.99	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,348.96	Professional		$645.65	$891.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,584.89	Professional		$575.44	$758.58	$1,584.89