Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $6,165.95	Professional		$891.25	$1,288.25	$6,165.95
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 $707.95 / $1,445.44 / $3,548.13	Professional		$707.95	$1,445.44	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $10,471.29	Facility		$66.07	$3,715.35	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,090.30	Professional		$977.24	$1,445.44	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,754.23	Professional		$812.83	$1,230.27	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $1,778.28	Professional		$223.87	$295.12	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,398.83	Professional		$1,096.48	$1,445.44	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,187.76	Facility		$794.33	$1,348.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,818.38	Professional		$724.44	$1,230.27	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $1,174.90	Professional		$245.47	$354.81	$1,174.90
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 $776.25 / $1,122.02 / $3,090.30	Professional		$776.25	$1,122.02	$3,090.30