Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,511.38 / $23,988.33	Facility		$3,019.95	$8,511.38	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $3,630.78	Professional		$741.31	$1,000.00	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,398.83	Professional		$851.14	$1,174.90	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $22,908.68	Facility		$66.07	$2,754.23	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,089.30	Professional		$676.08	$1,000.00	$2,089.30
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 $724.44 / $977.24 / $2,089.30	Professional		$724.44	$977.24	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,071.52	Professional		$724.44	$776.25	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,659.59	Professional		$660.69	$870.96	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $50,118.72 / $50,118.72	Facility		$14,454.40	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $6,456.54	Professional		$5,754.40	$6,456.54	$6,456.54
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 $776.25 / $1,000.00 / $1,513.56	Facility		$776.25	$1,000.00	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,041.74	Professional		$707.95	$954.99	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,230.27	Professional		$630.96	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,882.50 / $34,673.69	Facility		$6,165.95	$12,882.50	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $2,238.72	Professional		$630.96	$891.25	$2,238.72