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 $776.25 / $977.24 / $4,786.30	Professional		$776.25	$977.24	$4,786.30
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 $1,000.00 / $1,318.26 / $2,630.27	Professional		$1,000.00	$1,318.26	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,715.19	Facility		$66.07	$4,168.69	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,398.83	Professional		$851.14	$1,230.27	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,238.72	Professional		$851.14	$1,096.48	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,288.25	Professional		$707.95	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,778.28	Professional		$758.58	$1,000.00	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $45,708.82	Facility		$16,595.87	$16,595.87	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,862.09	Facility		$851.14	$1,122.02	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,238.72	Professional		$851.14	$1,122.02	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56
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 $676.08 / $912.01 / $1,949.84	Professional		$676.08	$912.01	$1,949.84