Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $23,988.33	Facility		$4,168.69	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,318.26 / $3,890.45	Professional		$281.84	$1,318.26	$3,890.45
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 $489.78 / $2,511.89 / $5,248.07	Professional		$489.78	$2,511.89	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,570.40 / $8,511.38	Facility		$64.57	$2,570.40	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,174.90 / $3,311.31	Professional		$316.23	$1,174.90	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,011.87	Facility		$4,168.69	$4,168.69	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,000.00 / $3,019.95	Professional		$316.23	$1,000.00	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,348.96 / $2,290.87	Professional		$275.42	$1,348.96	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,047.13 / $2,454.71	Professional		$257.04	$1,047.13	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,620.87	Facility		$54.95	$56.23	$18,620.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $10,715.19	Professional		$9,120.11	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,819.70	Professional		$1,096.48	$1,096.48	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,412.54 / $2,454.71	Facility		$309.03	$1,412.54	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $933.25 / $3,019.95	Professional		$316.23	$933.25	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $5,128.61	Professional		$954.99	$954.99	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,479.11 / $2,290.87	Professional		$251.19	$1,479.11	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,174.90 / $3,019.95	Professional		$288.40	$1,174.90	$3,019.95