Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $3,715.35	Professional		$588.84	$741.31	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,995.26	Professional		$741.31	$1,071.52	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $13,182.57	Facility		$66.07	$4,786.30	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,949.84	Professional		$707.95	$1,000.00	$1,949.84
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 $660.69 / $870.96 / $1,737.80	Professional		$660.69	$870.96	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,023.29	Professional		$416.87	$758.58	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,479.11	Professional		$616.60	$812.83	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,888.44 / $5,888.44	Professional		$5,754.40	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Facility		$645.65	$851.14	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,737.80	Professional		$660.69	$912.01	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $891.25	Professional		$524.81	$676.08	$891.25
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 $512.86 / $691.83 / $1,445.44	Professional		$512.86	$691.83	$1,445.44