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 / $1,202.26 / $4,073.80	Professional		$977.24	$1,202.26	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,454.71	Professional		$977.24	$1,258.93	$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 $912.01 / $1,318.26 / $2,511.89	Professional		$912.01	$1,318.26	$2,511.89
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 / $1,318.26 / $2,511.89	Professional		$870.96	$1,318.26	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,479.11	Professional		$630.96	$954.99	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,238.72	Professional		$954.99	$1,174.90	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,549.93 / $9,549.93	Professional		$7,762.47	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
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 / $2,754.23	Professional		$812.83	$1,318.26	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,348.96	Professional		$794.33	$1,047.13	$1,348.96
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 $870.96 / $1,148.15 / $2,238.72	Professional		$870.96	$1,148.15	$2,238.72