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 / $26,915.35	Facility		$4,466.84	$11,220.18	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,513.56 / $6,309.57	Professional		$288.40	$1,513.56	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $3,019.95 / $6,165.95	Professional		$478.63	$3,019.95	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $9,120.11	Facility		$66.07	$4,073.80	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,445.44 / $4,466.84	Professional		$302.00	$1,445.44	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Facility		$3,388.44	$3,388.44	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $933.25 / $3,630.78	Professional		$302.00	$933.25	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,238.72 / $3,311.31	Professional		$263.03	$2,238.72	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,096.48 / $2,570.40	Professional		$245.47	$1,096.48	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,135.61	Facility		$54.95	$56.23	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $13,803.84	Professional		$12,022.64	$12,022.64	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,949.84	Professional		$1,148.15	$1,148.15	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,584.89 / $3,162.28	Facility		$302.00	$1,584.89	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $794.33 / $3,630.78	Professional		$309.03	$794.33	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $5,495.41	Professional		$891.25	$891.25	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,818.38 / $4,168.69	Professional		$239.88	$2,818.38	$4,168.69
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 $269.15 / $1,288.25 / $3,630.78	Professional		$269.15	$1,288.25	$3,630.78