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 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $1,659.59	Professional		$288.40	$363.08	$1,659.59
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 $389.05 / $549.54 / $1,071.52	Professional		$389.05	$549.54	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,265.80 / $14,125.38	Facility		$66.07	$4,265.80	$14,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $891.25	Professional		$316.23	$467.74	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Facility		$3,090.30	$3,090.30	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $831.76	Professional		$316.23	$389.05	$831.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $562.34 / $851.14	Professional		$288.40	$562.34	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $602.56	Professional		$257.04	$323.59	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $42,657.95 / $42,657.95	Facility		$13,803.84	$42,657.95	$42,657.95
Lucent Health 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
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $794.33	Facility		$309.03	$416.87	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $812.83	Professional		$309.03	$398.11	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $776.25 / $1,202.26	Professional		$263.03	$776.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $870.96	Professional		$257.04	$346.74	$870.96