Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,585.78 / $18,197.01	Facility		$2,951.21	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $4,073.80	Professional		$602.56	$776.25	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,089.30	Professional		$776.25	$1,096.48	$2,089.30
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 $851.14 / $1,202.26 / $2,238.72	Professional		$851.14	$1,202.26	$2,238.72
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 $691.83 / $933.25 / $1,905.46	Professional		$691.83	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $812.83 / $1,096.48	Professional		$363.08	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,584.89	Professional		$645.65	$851.14	$1,584.89
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 $5,754.40 / $6,309.57 / $6,309.57	Professional		$5,754.40	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,412.54	Facility		$724.44	$912.01	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,905.46	Professional		$691.83	$954.99	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $812.83	Professional		$457.09	$630.96	$812.83
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 $549.54 / $758.58 / $1,548.82	Professional		$549.54	$758.58	$1,548.82