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 $794.33 / $977.24 / $4,897.79	Professional		$794.33	$977.24	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,630.27	Professional		$1,023.29	$1,348.96	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $10,471.29	Facility		$66.07	$3,630.78	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,454.71	Professional		$891.25	$1,288.25	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,344.23	Professional		$891.25	$1,122.02	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,862.09	Professional		$794.33	$1,023.29	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $27,542.29	Facility		$54.95	$56.23	$27,542.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,762.47 / $7,762.47	Professional		$7,244.36	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,819.70	Facility		$870.96	$1,148.15	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,344.23	Professional		$870.96	$1,174.90	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
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 $691.83 / $933.25 / $1,949.84	Professional		$691.83	$933.25	$1,949.84