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 $602.56 / $724.44 / $3,801.89	Professional		$602.56	$724.44	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,905.46	Professional		$549.54	$831.76	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $8,709.64	Facility		$66.07	$2,570.40	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,548.82	Professional		$489.78	$691.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,737.80	Professional		$478.63	$812.83	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,000.00	Professional		$489.78	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,348.96	Professional		$602.56	$794.33	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $45,708.82	Facility		$6,760.83	$6,760.83	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional		$5,128.61	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,318.26	Facility		$512.86	$794.33	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,778.28	Professional		$478.63	$851.14	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,047.13	Professional		$602.56	$741.31	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,445.44	Professional		$446.68	$676.08	$1,445.44