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 $660.69 / $831.76 / $4,073.80	Professional		$660.69	$831.76	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,238.72	Professional		$870.96	$1,174.90	$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 $794.33 / $1,122.02 / $2,137.96	Professional		$794.33	$1,122.02	$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 / $977.24 / $1,949.84	Professional		$758.58	$977.24	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,174.90	Professional		$776.25	$891.25	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Professional		$660.69	$870.96	$1,584.89
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 $6,165.95 / $6,456.54 / $6,456.54	Professional		$6,165.95	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Facility		$741.31	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,949.84	Professional		$741.31	$1,000.00	$1,949.84
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 $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
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 / $776.25 / $1,621.81	Professional		$588.84	$776.25	$1,621.81