Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $22,908.68	Facility		$4,073.80	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $3,090.30	Professional		$676.08	$812.83	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,454.71	Professional		$812.83	$1,202.26	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,413.10	Facility		$66.07	$2,754.23	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,949.84	Professional		$707.95	$912.01	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $912.01	Professional		$602.56	$676.08	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,412.54	Professional		$575.44	$758.58	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $5,888.44	Professional		$5,128.61	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,445.44	Facility		$724.44	$933.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,862.09	Professional		$691.83	$891.25	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,288.25	Professional		$602.56	$831.76	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,949.84	Professional		$602.56	$870.96	$1,949.84