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 $831.76 / $977.24 / $5,128.61	Professional		$831.76	$977.24	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,630.27	Professional		$851.14	$1,288.25	$2,630.27
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 $977.24 / $1,380.38 / $2,691.53	Professional		$977.24	$1,380.38	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,398.83	Professional		$891.25	$1,174.90	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,513.56	Professional		$575.44	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,041.74	Professional		$851.14	$1,148.15	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $33,884.42 / $33,884.42	Facility		$25,118.86	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $7,762.47	Professional		$6,760.83	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,819.70	Facility		$933.25	$1,258.93	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,398.83	Professional		$891.25	$1,230.27	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$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 $691.83 / $933.25 / $1,995.26	Professional		$691.83	$933.25	$1,995.26