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 $691.83 / $851.14 / $2,754.23	Professional		$691.83	$851.14	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $17,782.79	Facility		$5,370.32	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,737.80	Professional		$660.69	$891.25	$1,737.80
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 $630.96 / $891.25 / $1,778.28	Professional		$630.96	$891.25	$1,778.28
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 $616.60 / $933.25 / $1,778.28	Professional		$616.60	$933.25	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,047.13	Professional		$295.12	$446.68	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,584.89	Professional		$676.08	$831.76	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,165.95	Facility		$54.95	$56.23	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $6,760.83	Professional		$5,495.41	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,513.56	Facility		$707.95	$933.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,949.84	Professional		$588.84	$933.25	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $741.31	Professional		$371.54	$524.81	$741.31
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 $616.60 / $812.83 / $1,584.89	Professional		$616.60	$812.83	$1,584.89