Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $3,981.07	Professional		$630.96	$776.25	$3,981.07
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 $707.95 / $1,071.52 / $2,041.74	Professional		$707.95	$1,071.52	$2,041.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,332.54	Facility		$66.07	$3,388.44	$9,332.54
Blue Shield 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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,862.09	Professional		$676.08	$891.25	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $1,047.13	Professional		$380.19	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,548.82	Professional		$630.96	$831.76	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $28,840.32	Facility		$25,118.86	$25,118.86	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,412.54	Facility		$691.83	$912.01	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,862.09	Professional		$676.08	$912.01	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $851.14	Professional		$478.63	$645.65	$851.14
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 $549.54 / $741.31 / $1,548.82	Professional		$549.54	$741.31	$1,548.82