Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $3,235.94	Professional		$616.60	$812.83	$3,235.94
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 $724.44 / $1,047.13 / $2,137.96	Professional		$724.44	$1,047.13	$2,137.96
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 $776.25 / $1,096.48 / $2,137.96	Professional		$776.25	$1,096.48	$2,137.96
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 / $933.25 / $1,949.84	Professional		$724.44	$933.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $933.25 / $1,258.93	Professional		$338.84	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,698.24	Professional		$724.44	$954.99	$1,698.24
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 $5,495.41 / $6,456.54 / $11,481.54	Professional		$5,495.41	$6,456.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,479.11	Facility		$741.31	$977.24	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,949.84	Professional		$707.95	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $851.14	Professional		$426.58	$588.84	$851.14
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 $562.34 / $758.58 / $1,584.89	Professional		$562.34	$758.58	$1,584.89