Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,585.78 / $18,197.01	Facility		$2,884.03	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,288.25 / $4,786.30	Professional		$323.59	$1,288.25	$4,786.30
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 $489.78 / $1,862.09 / $4,466.84	Professional		$489.78	$1,862.09	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $7,079.46	Facility		$66.07	$2,344.23	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,174.90 / $2,884.03	Professional		$338.84	$1,174.90	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Facility		$1,995.26	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,122.02 / $2,951.21	Professional		$331.13	$1,122.02	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $2,570.40	Professional		$338.84	$426.58	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,348.96 / $3,019.95	Professional		$316.23	$1,348.96	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,748.98 / $11,748.98	Professional		$10,232.93	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,949.84	Professional		$1,174.90	$1,174.90	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,230.27 / $2,691.53	Facility		$371.54	$1,230.27	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $933.25 / $3,090.30	Professional		$331.13	$933.25	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $5,011.87	Professional		$1,071.52	$1,071.52	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,122.02 / $2,818.38	Professional		$295.12	$1,122.02	$2,818.38