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 $676.08 / $1,047.13 / $4,786.30	Professional		$676.08	$1,047.13	$4,786.30
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 $870.96 / $1,202.26 / $2,691.53	Professional		$870.96	$1,202.26	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $12,589.25	Facility		$66.07	$4,570.88	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,398.83	Professional		$724.44	$1,000.00	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,951.21 / $4,073.80	Facility		$794.33	$2,951.21	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,238.72	Professional		$724.44	$1,047.13	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,412.54	Professional		$741.31	$954.99	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,737.80	Professional		$691.83	$891.25	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $42,657.95 / $42,657.95	Facility		$11,748.98	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,918.31 / $6,918.31	Professional		$6,165.95	$6,918.31	$6,918.31
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 $794.33 / $1,047.13 / $1,862.09	Facility		$794.33	$1,047.13	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,238.72	Professional		$741.31	$1,047.13	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,584.89	Professional		$741.31	$1,047.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,819.70	Professional		$660.69	$851.14	$1,819.70