Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $18,197.01	Facility		$3,311.31	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $2,818.38	Professional		$478.63	$676.08	$2,818.38
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 $676.08 / $1,000.00 / $1,819.70	Professional		$676.08	$1,000.00	$1,819.70
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 $575.44 / $831.76 / $1,548.82	Professional		$575.44	$831.76	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $6,918.31	Facility		$5,011.87	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,380.38	Professional		$562.34	$776.25	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $741.31	Professional		$489.78	$549.54	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,096.48	Professional		$457.09	$602.56	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $19,952.62 / $19,952.62	Facility		$1,819.70	$19,952.62	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,148.15	Facility		$512.86	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,380.38	Professional		$562.34	$794.33	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $831.76	Professional		$446.68	$616.60	$831.76
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 $416.87 / $630.96 / $1,174.90	Professional		$416.87	$630.96	$1,174.90