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 $512.86 / $676.08 / $3,630.78	Professional		$512.86	$676.08	$3,630.78
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 $630.96 / $870.96 / $1,737.80	Professional		$630.96	$870.96	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $8,709.64	Facility		$66.07	$2,630.27	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,737.80	Professional		$616.60	$891.25	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,621.81	Professional		$575.44	$776.25	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $741.31 / $1,000.00	Professional		$275.42	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,445.44	Professional		$602.56	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $45,708.82	Facility		$4,786.30	$4,786.30	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,202.26	Facility		$562.34	$794.33	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,659.59	Professional		$575.44	$794.33	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,318.26	Professional		$467.74	$616.60	$1,318.26