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 $1,023.29 / $1,230.27 / $4,365.16	Professional		$1,023.29	$1,230.27	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,511.89	Professional		$954.99	$1,288.25	$2,511.89
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 $933.25 / $1,348.96 / $2,630.27	Professional		$933.25	$1,348.96	$2,630.27
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 $870.96 / $1,348.96 / $2,570.40	Professional		$870.96	$1,348.96	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,621.81	Professional		$660.69	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,344.23	Professional		$1,023.29	$1,258.93	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,000.00 / $10,000.00	Professional		$8,317.64	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,238.72	Facility		$1,071.52	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,951.21	Professional		$831.76	$1,348.96	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,412.54	Professional		$831.76	$1,122.02	$1,412.54
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 $891.25 / $1,174.90 / $2,290.87	Professional		$891.25	$1,174.90	$2,290.87