Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $4,073.80	Professional		$977.24	$1,148.15	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $17,782.79	Facility		$6,025.60	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,454.71	Professional		$1,000.00	$1,318.26	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
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 $891.25 / $1,318.26 / $2,454.71	Professional		$891.25	$1,318.26	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,479.11	Professional		$588.84	$891.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,137.96	Professional		$933.25	$1,148.15	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,317.64	Facility		$54.95	$56.23	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,120.11 / $9,120.11	Professional		$7,413.10	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Facility		$1,023.29	$1,348.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,691.53	Professional		$812.83	$1,318.26	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,258.93	Professional		$741.31	$1,000.00	$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 $851.14 / $1,148.15 / $2,137.96	Professional		$851.14	$1,148.15	$2,137.96