Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $23,988.33	Facility		$4,677.35	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $4,168.69	Professional		$660.69	$812.83	$4,168.69
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 $724.44 / $1,023.29 / $2,187.76	Professional		$724.44	$1,023.29	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $16,982.44	Facility		$66.07	$3,715.35	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,041.74	Professional		$724.44	$1,047.13	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,949.84	Professional		$676.08	$891.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,148.15	Professional		$741.31	$891.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $33,884.42 / $33,884.42	Facility		$20,892.96	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,659.59	Facility		$724.44	$933.25	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,949.84	Professional		$660.69	$933.25	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,584.89	Professional		$741.31	$1,047.13	$1,584.89
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 $562.34 / $758.58 / $1,621.81	Professional		$562.34	$758.58	$1,621.81