Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $3,388.44	Professional		$537.03	$660.69	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,698.24	Professional		$588.84	$831.76	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,621.81	Professional		$537.03	$776.25	$1,621.81
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 $562.34 / $758.58 / $1,548.82	Professional		$562.34	$758.58	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $691.83 / $933.25	Professional		$251.19	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,348.96	Professional		$562.34	$741.31	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $5,370.32	Professional		$4,466.84	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $1,202.26	Facility		$602.56	$758.58	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,584.89	Professional		$562.34	$776.25	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $630.96	Professional		$316.23	$446.68	$630.96
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 $467.74 / $616.60 / $1,258.93	Professional		$467.74	$616.60	$1,258.93