Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $8,128.31	Facility		$1,122.02	$1,122.02	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $7,079.46	Professional		$812.83	$1,174.90	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $4,466.84	Facility		$851.14	$1,071.52	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,511.89	Professional		$1,122.02	$1,122.02	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,235.94 / $4,365.16	Facility		$100.00	$3,235.94	$4,365.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $6,025.60	Professional		$1,819.70	$3,548.13	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,174.90	Facility		$870.96	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,290.87	Professional		$691.83	$870.96	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,019.95	Professional		$1,148.15	$1,698.24	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,125.38 / $14,125.38	Professional		$12,302.69	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $2,511.89	Facility		$630.96	$1,862.09	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,041.74	Professional		$851.14	$851.14	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,698.24	Professional		$691.83	$1,023.29	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,230.27 / $2,511.89	Facility		$154.88	$1,230.27	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,905.46	Professional		$870.96	$1,122.02	$1,905.46