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 $676.08 / $831.76 / $2,754.23	Professional		$676.08	$831.76	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,778.28	Professional		$758.58	$977.24	$1,778.28
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 $707.95 / $1,000.00 / $1,949.84	Professional		$707.95	$1,000.00	$1,949.84
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 $645.65 / $933.25 / $1,778.28	Professional		$645.65	$933.25	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,047.13	Professional		$575.44	$812.83	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,548.82	Professional		$660.69	$812.83	$1,548.82
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 / $6,606.93 / $6,606.93	Professional		$5,495.41	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,513.56	Facility		$724.44	$954.99	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,949.84	Professional		$616.60	$933.25	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,258.93	Professional		$645.65	$870.96	$1,258.93
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 $602.56 / $812.83 / $1,548.82	Professional		$602.56	$812.83	$1,548.82