Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $11,220.18 / $28,840.32	Facility		$4,466.84	$11,220.18	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $4,073.80	Professional		$758.58	$954.99	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,884.03	Professional		$912.01	$1,412.54	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,630.27	Professional		$812.83	$1,174.90	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,302.69 / $25,703.96	Facility		$10,715.19	$12,302.69	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $2,187.76	Professional		$794.33	$954.99	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,047.13	Professional		$457.09	$575.44	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,778.28	Professional		$724.44	$933.25	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,949.84	Facility		$851.14	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $2,187.76	Professional		$794.33	$954.99	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $977.24	Professional		$575.44	$776.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $2,041.74	Professional		$660.69	$933.25	$2,041.74