Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $4,466.84	Professional		$645.65	$831.76	$4,466.84
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 $758.58 / $1,071.52 / $2,137.96	Professional		$758.58	$1,071.52	$2,137.96
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 / $1,174.90 / $2,290.87	Professional		$812.83	$1,174.90	$2,290.87
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 $724.44 / $977.24 / $2,041.74	Professional		$724.44	$977.24	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,318.26	Professional		$426.58	$954.99	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,778.28	Professional		$758.58	$977.24	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,548.82	Facility		$794.33	$1,023.29	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,041.74	Professional		$707.95	$1,000.00	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $954.99	Professional		$537.03	$741.31	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,621.81	Professional		$575.44	$776.25	$1,621.81