Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $4,897.79	Professional		$812.83	$1,047.13	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,754.23	Professional		$912.01	$1,318.26	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,454.71	Professional		$794.33	$1,148.15	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Facility		$1,995.26	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,238.72	Professional		$758.58	$1,047.13	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,230.27	Professional		$645.65	$933.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,778.28	Professional		$758.58	$1,000.00	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,244.36 / $7,244.36	Professional		$6,760.83	$7,244.36	$7,244.36
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 $831.76 / $1,096.48 / $1,819.70	Facility		$831.76	$1,096.48	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,238.72	Professional		$707.95	$1,047.13	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,380.38	Professional		$758.58	$977.24	$1,380.38
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 $676.08 / $933.25 / $2,454.71	Professional		$676.08	$933.25	$2,454.71