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 $512.86 / $660.69 / $3,162.28	Professional		$512.86	$660.69	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,905.46	Professional		$691.83	$977.24	$1,905.46
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 $562.34 / $812.83 / $1,621.81	Professional		$562.34	$812.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,311.31	Facility		$2,818.38	$2,818.38	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,513.56	Professional		$524.81	$707.95	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,096.48	Professional		$588.84	$741.31	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,202.26	Professional		$489.78	$645.65	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $42,657.95 / $42,657.95	Facility		$12,589.25	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,011.87	Professional		$4,265.80	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,318.26	Facility		$562.34	$741.31	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,513.56	Professional		$512.86	$707.95	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,258.93	Professional		$478.63	$741.31	$1,258.93
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 $457.09 / $645.65 / $1,659.59	Professional		$457.09	$645.65	$1,659.59