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 $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,698.24	Professional		$562.34	$831.76	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,481.54	Facility		$66.07	$4,168.69	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,584.89	Professional		$549.54	$794.33	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,548.82	Professional		$524.81	$741.31	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $933.25	Professional		$295.12	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,445.44	Professional		$562.34	$724.44	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $45,708.82	Facility		$28,840.32	$28,840.32	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$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 $588.84 / $758.58 / $1,174.90	Facility		$588.84	$758.58	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,584.89	Professional		$524.81	$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 $371.54 / $524.81 / $676.08	Professional		$371.54	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,318.26	Professional		$457.09	$602.56	$1,318.26