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 $588.84 / $724.44 / $3,715.35	Professional		$588.84	$724.44	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,905.46	Professional		$741.31	$1,000.00	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $9,332.54	Facility		$66.07	$4,073.80	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,905.46	Professional		$707.95	$1,023.29	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,778.28	Professional		$645.65	$831.76	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $741.31 / $1,000.00	Professional		$295.12	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,445.44	Professional		$602.56	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $5,888.44	Professional		$5,248.07	$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 $660.69 / $870.96 / $1,380.38	Facility		$660.69	$870.96	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,778.28	Professional		$645.65	$851.14	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $676.08	Professional		$371.54	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,445.44	Professional		$501.19	$691.83	$1,445.44