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 $870.96 / $1,023.29 / $3,548.13	Professional		$870.96	$1,023.29	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,187.76	Professional		$851.14	$1,122.02	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,000.00 / $5,888.44	Facility		$66.07	$1,000.00	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,238.72	Professional		$812.83	$1,174.90	$2,238.72
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 $776.25 / $1,148.15 / $2,187.76	Professional		$776.25	$1,148.15	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,288.25	Professional		$549.54	$831.76	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,905.46	Professional		$812.83	$1,000.00	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $8,317.64	Professional		$6,760.83	$8,317.64	$8,317.64
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 $891.25 / $1,174.90 / $1,905.46	Facility		$891.25	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,398.83	Professional		$741.31	$1,148.15	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,174.90	Professional		$691.83	$912.01	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,905.46	Professional		$758.58	$1,000.00	$1,905.46