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 $851.14 / $1,096.48 / $5,248.07	Professional		$851.14	$1,096.48	$5,248.07
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 $776.25 / $1,380.38 / $2,951.21	Professional		$776.25	$1,380.38	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,754.23	Professional		$954.99	$1,412.54	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,511.89	Professional		$831.76	$1,122.02	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,479.11	Professional		$660.69	$1,000.00	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,949.84	Professional		$891.25	$1,174.90	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,943.28 / $7,943.28	Professional		$7,244.36	$7,943.28	$7,943.28
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 $912.01 / $1,230.27 / $1,995.26	Facility		$912.01	$1,230.27	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,454.71	Professional		$794.33	$1,122.02	$2,454.71
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 $831.76 / $1,023.29 / $1,412.54	Professional		$831.76	$1,023.29	$1,412.54
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 $707.95 / $1,000.00 / $2,630.27	Professional		$707.95	$1,000.00	$2,630.27