Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $2,951.21	Professional		$501.19	$676.08	$2,951.21
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 $549.54 / $794.33 / $1,698.24	Professional		$549.54	$794.33	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $12,302.69	Facility		$66.07	$4,570.88	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,445.44	Professional		$457.09	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,445.44	Professional		$501.19	$676.08	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $794.33	Professional		$389.05	$588.84	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,258.93	Professional		$501.19	$676.08	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
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 $549.54 / $724.44 / $1,148.15	Facility		$549.54	$724.44	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,445.44	Professional		$478.63	$676.08	$1,445.44
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 $489.78 / $588.84 / $831.76	Professional		$489.78	$588.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,584.89	Professional		$436.52	$616.60	$1,584.89