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 $776.25 / $977.24 / $4,677.35	Professional		$776.25	$977.24	$4,677.35
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 $1,047.13 / $1,513.56 / $2,754.23	Professional		$1,047.13	$1,513.56	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,884.03	Professional		$1,122.02	$1,548.82	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,230.27	Professional		$630.96	$912.01	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Professional		$741.31	$977.24	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,585.78 / $7,585.78	Professional		$7,079.46	$7,585.78	$7,585.78
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 $851.14 / $1,174.90 / $1,778.28	Facility		$851.14	$1,174.90	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,290.87	Professional		$891.25	$1,230.27	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,348.96	Professional		$741.31	$954.99	$1,348.96
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 $691.83 / $954.99 / $1,905.46	Professional		$691.83	$954.99	$1,905.46