Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $4,168.69	Professional		$676.08	$812.83	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,089.30	Professional		$676.08	$1,000.00	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $10,000.00	Facility		$66.07	$3,162.28	$10,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,737.80	Professional		$575.44	$812.83	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,905.46	Professional		$588.84	$912.01	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $1,122.02	Professional		$338.84	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $28,840.32	Facility		$26,915.35	$26,915.35	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $6,606.93	Professional		$5,495.41	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,445.44	Facility		$676.08	$912.01	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,949.84	Professional		$588.84	$912.01	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $758.58	Professional		$426.58	$588.84	$758.58
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 $562.34 / $758.58 / $1,584.89	Professional		$562.34	$758.58	$1,584.89