Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $4,677.35	Professional		$645.65	$851.14	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,398.83	Professional		$691.83	$977.24	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,317.64	Facility		$66.07	$2,511.89	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,089.30	Professional		$707.95	$954.99	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,862.09	Professional		$724.44	$954.99	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,737.80	Professional		$676.08	$1,000.00	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $28,840.32 / $28,840.32	Facility		$11,220.18	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,230.27	Professional		$741.31	$741.31	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,412.54	Facility		$660.69	$933.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,862.09	Professional		$724.44	$954.99	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,258.93	Professional		$660.69	$954.99	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $21,379.62	Facility		$5,623.41	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,659.59	Professional		$616.60	$831.76	$1,659.59