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 $691.83 / $870.96 / $4,265.80	Professional		$691.83	$870.96	$4,265.80
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 $891.25 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,137.96	Professional		$776.25	$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 $776.25 / $977.24 / $2,041.74	Professional		$776.25	$977.24	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$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 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,760.83 / $6,760.83	Professional		$5,623.41	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,584.89	Facility		$758.58	$1,000.00	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,041.74	Professional		$758.58	$1,000.00	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44
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 $602.56 / $812.83 / $1,698.24	Professional		$602.56	$812.83	$1,698.24