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 $602.56 / $933.25 / $5,248.07	Professional		$602.56	$933.25	$5,248.07
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 $741.31 / $1,000.00 / $2,290.87	Professional		$741.31	$1,000.00	$2,290.87
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 $707.95 / $1,023.29 / $2,041.74	Professional		$707.95	$1,023.29	$2,041.74
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 $630.96 / $933.25 / $1,995.26	Professional		$630.96	$933.25	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,548.82	Professional		$575.44	$1,122.02	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,905.46	Professional		$870.96	$1,148.15	$1,905.46
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 $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,659.59	Facility		$794.33	$1,122.02	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $2,089.30	Professional		$630.96	$933.25	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,258.93	Professional		$724.44	$977.24	$1,258.93
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 $575.44 / $776.25 / $1,737.80	Professional		$575.44	$776.25	$1,737.80