Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $5,248.07	Professional		$691.83	$1,122.02	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,691.53	Professional		$758.58	$1,148.15	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $9,772.37	Facility		$66.07	$4,168.69	$9,772.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,454.71	Professional		$707.95	$977.24	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $3,090.30	Facility		$575.44	$851.14	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,187.76	Professional		$758.58	$1,023.29	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,412.54	Professional		$588.84	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,995.26	Professional		$812.83	$1,047.13	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,585.78 / $7,585.78	Professional		$6,606.93	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,698.24	Facility		$870.96	$1,096.48	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,344.23	Professional		$758.58	$1,071.52	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$1,258.93
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 $645.65 / $851.14 / $1,905.46	Professional		$645.65	$851.14	$1,905.46