Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $9,639.00 / $21,960.90	Facility		$2,197.85	$9,639.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.80 / $757.01 / $3,911.59	Professional		$627.80	$757.01	$3,911.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.79 / $995.58 / $2,003.19	Professional		$772.79	$995.58	$2,003.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $567.76 / $816.35 / $1,856.08	Professional		$567.76	$816.35	$1,856.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $5,729.24 / $10,261.32	Facility		$4,445.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.74 / $914.73 / $2,026.01	Professional		$713.74	$914.73	$2,026.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $893.52 / $1,408.50	Professional		$744.60	$893.52	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.91 / $968.40 / $1,735.34	Professional		$709.91	$968.40	$1,735.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,148.70 / $16,547.20 / $26,542.00	Facility		$4,148.70	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,323.73 / $6,323.73 / $6,345.83	Professional		$6,323.73	$6,323.73	$6,345.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $777.40 / $959.00 / $1,385.66	Facility		$777.40	$959.00	$1,385.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.63 / $952.12 / $1,978.47	Professional		$721.63	$952.12	$1,978.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,427.06 / $2,427.06 / $2,427.06	Professional		$2,427.06	$2,427.06	$2,427.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $959.56 / $1,408.50	Professional		$744.60	$959.56	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.29 / $772.20 / $1,822.83	Professional		$581.29	$772.20	$1,822.83