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 / $21,877.62	Facility		$3,981.07	$10,000.00	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $3,548.13	Professional		$616.60	$794.33	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,995.26	Professional		$758.58	$1,023.29	$1,995.26
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 $691.83 / $1,000.00 / $1,905.46	Professional		$691.83	$1,000.00	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,737.80	Professional		$676.08	$851.14	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,000.00	Professional		$467.74	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,698.24	Professional		$602.56	$794.33	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,888.44 / $5,888.44	Professional		$4,897.79	$5,888.44	$5,888.44
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 $660.69 / $870.96 / $1,318.26	Facility		$660.69	$870.96	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,737.80	Professional		$660.69	$870.96	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,000.00	Professional		$588.84	$691.83	$1,000.00
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 $524.81 / $707.95 / $1,445.44	Professional		$524.81	$707.95	$1,445.44