Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,413.10 / $18,197.01	Facility		$2,884.03	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $2,187.76	Professional		$389.05	$602.56	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,288.25	Professional		$446.68	$630.96	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $9,120.11	Facility		$66.07	$3,311.31	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,348.96	Professional		$436.52	$676.08	$1,348.96
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 $436.52 / $645.65 / $1,174.90	Professional		$436.52	$645.65	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $1,000.00	Professional		$204.17	$537.03	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,122.02	Professional		$426.58	$645.65	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $4,897.79	Professional		$4,265.80	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $812.83	Professional		$489.78	$489.78	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,023.29	Facility		$436.52	$630.96	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,230.27	Professional		$436.52	$660.69	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,995.26	Professional		$1,412.54	$1,412.54	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $645.65	Professional		$257.04	$380.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,071.52	Professional		$363.08	$524.81	$1,071.52