Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $27,542.29	Facility		$3,715.35	$10,000.00	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $2,238.72	Professional		$371.54	$467.74	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,479.11	Professional		$489.78	$724.44	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $22,387.21	Facility		$66.07	$2,630.27	$22,387.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,258.93	Professional		$380.19	$562.34	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $15,135.61 / $17,378.01	Facility		$2,884.03	$15,135.61	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,071.52	Professional		$398.11	$489.78	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $562.34	Professional		$295.12	$380.19	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $794.33	Professional		$316.23	$407.38	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $851.14	Facility		$398.11	$537.03	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,071.52	Professional		$389.05	$489.78	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $630.96	Professional		$302.00	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $20,892.96	Facility		$5,623.41	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,000.00	Professional		$316.23	$457.09	$1,000.00