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 $812.83 / $1,288.25 / $5,888.44	Professional		$812.83	$1,288.25	$5,888.44
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 $933.25 / $1,380.38 / $3,090.30	Professional		$933.25	$1,380.38	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $9,549.93	Facility		$66.07	$3,801.89	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,818.38	Professional		$831.76	$1,122.02	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,090.30	Facility		$575.44	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,630.27	Professional		$831.76	$1,202.26	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,122.02 / $1,548.82	Professional		$501.19	$1,122.02	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,187.76	Professional		$891.25	$1,148.15	$2,187.76
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 $7,585.78 / $8,709.64 / $8,709.64	Professional		$7,585.78	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,862.09	Facility		$954.99	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,691.53	Professional		$870.96	$1,230.27	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,148.15	Professional		$630.96	$891.25	$1,148.15
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 $776.25 / $1,000.00 / $2,187.76	Professional		$776.25	$1,000.00	$2,187.76