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 $794.33 / $1,000.00 / $4,786.30	Professional		$794.33	$1,000.00	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $15,848.93	Facility		$4,677.35	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,570.40	Professional		$891.25	$1,318.26	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $14,791.08	Facility		$66.07	$5,128.61	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,238.72	Professional		$741.31	$1,071.52	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $17,378.01 / $17,378.01	Facility		$8,511.38	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,290.87	Professional		$812.83	$1,071.52	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,288.25	Professional		$616.60	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,862.09	Professional		$758.58	$1,023.29	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $19,952.62 / $50,118.72	Facility		$1,819.70	$19,952.62	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $7,585.78	Professional		$6,309.57	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,778.28	Facility		$851.14	$1,096.48	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,290.87	Professional		$794.33	$1,096.48	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,071.52	Professional		$616.60	$870.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $14,125.38 / $28,840.32	Facility		$7,943.28	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,905.46	Professional		$676.08	$912.01	$1,905.46