Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $4,265.80	Professional		$676.08	$831.76	$4,265.80
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 $851.14 / $1,148.15 / $2,238.72	Professional		$851.14	$1,148.15	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $9,332.54	Facility		$66.07	$3,548.13	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,137.96	Professional		$758.58	$1,096.48	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,995.26	Professional		$758.58	$954.99	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,148.15	Professional		$602.56	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,659.59	Professional		$691.83	$912.01	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $28,840.32	Facility		$19,952.62	$19,952.62	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,548.82	Facility		$758.58	$1,000.00	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,995.26	Professional		$758.58	$1,000.00	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Professional		$691.83	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,659.59	Professional		$588.84	$794.33	$1,659.59