Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,317.64 / $19,054.61	Facility		$3,311.31	$8,317.64	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $3,548.13	Professional		$660.69	$851.14	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,344.23	Professional		$831.76	$1,258.93	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,467.37 / $10,715.19	Facility		$66.07	$3,467.37	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,089.30	Professional		$758.58	$1,071.52	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $10,000.00	Facility		$5,011.87	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,949.84	Professional		$707.95	$933.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,122.02	Professional		$616.60	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,905.46	Professional		$676.08	$891.25	$1,905.46
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 $6,165.95 / $6,606.93 / $6,606.93	Professional		$6,165.95	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,659.59	Facility		$741.31	$977.24	$1,659.59
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 $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,318.26	Professional		$676.08	$933.25	$1,318.26
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 $588.84 / $776.25 / $1,621.81	Professional		$588.84	$776.25	$1,621.81