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 $891.25 / $1,096.48 / $4,677.35	Professional		$891.25	$1,096.48	$4,677.35
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 $851.14 / $1,122.02 / $2,290.87	Professional		$851.14	$1,122.02	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $16,982.44	Facility		$66.07	$5,495.41	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,754.23	Professional		$1,023.29	$1,479.11	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,467.37 / $7,079.46	Facility		$758.58	$3,467.37	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,344.23	Professional		$724.44	$1,202.26	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,621.81	Professional		$630.96	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,235.94	Professional		$912.01	$1,174.90	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,595.87	Facility		$1,995.26	$1,995.26	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,041.74	Facility		$912.01	$1,318.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,511.89	Professional		$707.95	$1,230.27	$2,511.89
Sutter Health Plus 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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,348.96	Professional		$794.33	$1,047.13	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,041.74	Professional		$758.58	$1,047.13	$2,041.74