Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $4,677.35	Professional		$758.58	$954.99	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,511.89	Professional		$954.99	$1,288.25	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,748.98	Facility		$66.07	$4,168.69	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,398.83	Professional		$851.14	$1,230.27	$2,398.83
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 $831.76 / $1,071.52 / $2,238.72	Professional		$831.76	$1,071.52	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,230.27	Professional		$776.25	$933.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,778.28	Professional		$758.58	$1,000.00	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,659.59	Facility		$831.76	$1,071.52	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,238.72	Professional		$831.76	$1,122.02	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,659.59	Professional		$776.25	$1,096.48	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,862.09	Professional		$676.08	$891.25	$1,862.09