Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,413.10 / $18,197.01	Facility		$2,951.21	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,258.93 / $2,818.38	Professional		$309.03	$1,258.93	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,995.26 / $4,168.69	Professional		$478.63	$1,995.26	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $7,079.46	Facility		$66.07	$2,344.23	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,090.30	Professional		$354.81	$1,230.27	$3,090.30
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 $323.59 / $1,071.52 / $2,691.53	Professional		$323.59	$1,071.52	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $2,238.72	Professional		$302.00	$389.05	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,023.29 / $2,511.89	Professional		$295.12	$1,023.29	$2,511.89
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 $9,120.11 / $10,000.00 / $10,000.00	Professional		$9,120.11	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,698.24	Professional		$1,000.00	$1,000.00	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,318.26 / $2,398.83	Facility		$354.81	$1,318.26	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $891.25 / $2,754.23	Professional		$323.59	$891.25	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,365.16	Professional		$1,000.00	$1,000.00	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,513.56	Professional		$295.12	$501.19	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,047.13 / $2,570.40	Professional		$288.40	$1,047.13	$2,570.40