Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $4,677.35	Professional		$891.25	$1,148.15	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,884.03	Professional		$1,096.48	$1,479.11	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,623.41 / $16,982.44	Facility		$66.07	$5,623.41	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,570.40	Professional		$870.96	$1,258.93	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,454.71	Professional		$912.01	$1,202.26	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,412.54	Professional		$741.31	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,041.74	Professional		$851.14	$1,148.15	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,709.64 / $8,709.64	Professional		$7,244.36	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,949.84	Facility		$954.99	$1,202.26	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,511.89	Professional		$870.96	$1,230.27	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,584.89	Professional		$851.14	$1,096.48	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,137.96	Professional		$758.58	$1,023.29	$2,137.96