Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,995.26	Professional		$501.19	$602.56	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,230.27	Professional		$478.63	$616.60	$1,230.27
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 $457.09 / $645.65 / $1,288.25	Professional		$457.09	$645.65	$1,288.25
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 $446.68 / $645.65 / $1,258.93	Professional		$446.68	$645.65	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $870.96	Professional		$630.96	$707.95	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,202.26	Professional		$512.86	$630.96	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,801.89	Facility		$54.95	$56.23	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,122.02	Facility		$524.81	$691.83	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,412.54	Professional		$436.52	$660.69	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $707.95	Professional		$512.86	$575.44	$707.95
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 $416.87 / $562.34 / $1,122.02	Professional		$416.87	$562.34	$1,122.02