Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $4,466.84	Professional		$741.31	$977.24	$4,466.84
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 $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $12,882.50	Facility		$66.07	$5,011.87	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,398.83	Professional		$831.76	$1,230.27	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,230.27	Professional		$812.83	$812.83	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,698.24	Professional		$691.83	$912.01	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $7,079.46	Professional		$6,025.60	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,659.59	Facility		$812.83	$1,047.13	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,187.76	Professional		$758.58	$1,000.00	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,380.38	Professional		$660.69	$912.01	$1,380.38
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 $660.69 / $933.25 / $2,344.23	Professional		$660.69	$933.25	$2,344.23