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 $851.14 / $1,174.90 / $4,786.30	Professional		$851.14	$1,174.90	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,754.23	Professional		$1,071.52	$1,412.54	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $16,982.44	Facility		$66.07	$5,754.40	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,754.23	Professional		$933.25	$1,412.54	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,630.27	Professional		$933.25	$1,348.96	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,187.76	Professional		$794.33	$1,202.26	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,454.71	Professional		$912.01	$1,348.96	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $33,884.42 / $33,884.42	Facility		$23,988.33	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Professional		$1,023.29	$1,023.29	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,344.23	Facility		$1,000.00	$1,479.11	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,691.53	Professional		$933.25	$1,380.38	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,981.07	Professional		$3,090.30	$3,090.30	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,698.24	Professional		$831.76	$1,288.25	$1,698.24
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 $776.25 / $1,096.48 / $2,238.72	Professional		$776.25	$1,096.48	$2,238.72