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 $549.54 / $691.83 / $3,388.44	Professional		$549.54	$691.83	$3,388.44
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 $676.08 / $1,000.00 / $1,862.09	Professional		$676.08	$1,000.00	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $9,120.11	Facility		$66.07	$3,311.31	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,089.30	Professional		$812.83	$1,148.15	$2,089.30
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 $616.60 / $851.14 / $1,621.81	Professional		$616.60	$851.14	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $933.25	Professional		$363.08	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,348.96	Professional		$562.34	$724.44	$1,348.96
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 $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,258.93	Facility		$588.84	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,621.81	Professional		$616.60	$891.25	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $794.33	Professional		$467.74	$616.60	$794.33
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 $478.63 / $676.08 / $1,348.96	Professional		$478.63	$676.08	$1,348.96