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 $630.96 / $776.25 / $4,073.80	Professional		$630.96	$776.25	$4,073.80
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 $831.76 / $1,122.02 / $2,187.76	Professional		$831.76	$1,122.02	$2,187.76
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 $741.31 / $1,071.52 / $2,041.74	Professional		$741.31	$1,071.52	$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 $724.44 / $933.25 / $1,905.46	Professional		$724.44	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Professional		$501.19	$794.33	$1,071.52
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 $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 $5,370.32 / $6,456.54 / $6,456.54	Professional		$5,370.32	$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 / $954.99 / $1,445.44	Facility		$724.44	$954.99	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,905.46	Professional		$724.44	$954.99	$1,905.46
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 $630.96 / $758.58 / $1,096.48	Professional		$630.96	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,584.89	Professional		$575.44	$758.58	$1,584.89