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 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,778.28	Professional		$416.87	$512.86	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,071.52	Professional		$446.68	$575.44	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,258.93	Professional		$467.74	$676.08	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,047.13	Professional		$407.38	$575.44	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $630.96	Professional		$416.87	$467.74	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $912.01	Professional		$380.19	$467.74	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,090.30	Facility		$54.95	$56.23	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $562.34 / $933.25	Facility		$407.38	$562.34	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,148.15	Professional		$398.11	$588.84	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $891.25	Professional		$416.87	$588.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $933.25	Professional		$363.08	$489.78	$933.25