Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $4,073.80	Professional		$660.69	$794.33	$4,073.80
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 $851.14 / $1,122.02 / $2,187.76	Professional		$851.14	$1,122.02	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,128.31	Facility		$66.07	$3,388.44	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,995.26	Professional		$707.95	$1,023.29	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,949.84	Professional		$707.95	$933.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,047.13	Professional		$426.58	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,548.82	Professional		$630.96	$831.76	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $28,840.32	Facility		$7,943.28	$7,943.28	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,548.82	Facility		$707.95	$933.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,949.84	Professional		$676.08	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $912.01	Professional		$537.03	$707.95	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,659.59	Professional		$575.44	$776.25	$1,659.59