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 $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 $4,677.35 / $8,511.38 / $15,848.93	Facility		$4,677.35	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,344.23	Professional		$870.96	$1,258.93	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,748.98	Facility		$66.07	$4,168.69	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,570.40	Professional		$1,023.29	$1,445.44	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,949.84	Professional		$758.58	$1,047.13	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,258.93	Professional		$812.83	$891.25	$1,258.93
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 $45,708.82 / $45,708.82 / $47,863.01	Facility		$45,708.82	$45,708.82	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
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 / $977.24 / $1,548.82	Facility		$724.44	$977.24	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,949.84	Professional		$758.58	$1,071.52	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,778.28	Professional		$724.44	$1,148.15	$1,778.28
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 $575.44 / $812.83 / $1,584.89	Professional		$575.44	$812.83	$1,584.89