Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,000.00 / $22,908.68	Facility		$3,890.45	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $2,398.83	Professional		$575.44	$691.83	$2,398.83
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 $645.65 / $912.01 / $1,659.59	Professional		$645.65	$912.01	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,737.80	Professional		$645.65	$933.25	$1,737.80
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 $562.34 / $794.33 / $1,513.56	Professional		$562.34	$794.33	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $870.96	Professional		$575.44	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,258.93	Professional		$512.86	$645.65	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,011.87	Facility		$54.95	$56.23	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,412.54	Facility		$588.84	$812.83	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,584.89	Professional		$562.34	$794.33	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,258.93	Professional		$575.44	$812.83	$1,258.93
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 $489.78 / $660.69 / $1,288.25	Professional		$489.78	$660.69	$1,288.25