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 $645.65 / $912.01 / $4,786.30	Professional		$645.65	$912.01	$4,786.30
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 $812.83 / $1,122.02 / $2,344.23	Professional		$812.83	$1,122.02	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,398.83	Professional		$831.76	$1,202.26	$2,398.83
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 $707.95 / $1,023.29 / $2,089.30	Professional		$707.95	$1,023.29	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,380.38	Professional		$707.95	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,905.46	Professional		$812.83	$1,047.13	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $7,244.36	Professional		$6,165.95	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,659.59	Facility		$812.83	$1,071.52	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,187.76	Professional		$707.95	$1,023.29	$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 $831.76 / $1,071.52 / $1,513.56	Professional		$831.76	$1,071.52	$1,513.56
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 $616.60 / $812.83 / $1,737.80	Professional		$616.60	$812.83	$1,737.80