Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $4,677.35	Professional		$758.58	$933.25	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,398.83	Professional		$851.14	$1,230.27	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,265.80 / $13,182.57	Facility		$66.07	$4,265.80	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,454.71	Professional		$912.01	$1,288.25	$2,454.71
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 $812.83 / $1,096.48 / $2,187.76	Professional		$812.83	$1,096.48	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,348.96	Professional		$575.44	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,862.09	Professional		$776.25	$1,023.29	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,079.46 / $7,079.46	Professional		$6,309.57	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,659.59	Facility		$851.14	$1,148.15	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,187.76	Professional		$812.83	$1,122.02	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,258.93	Professional		$741.31	$912.01	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,819.70	Professional		$630.96	$851.14	$1,819.70