Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $18,197.01	Facility		$2,754.23	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,862.09	Professional		$416.87	$616.60	$1,862.09
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 $537.03 / $758.58 / $1,621.81	Professional		$537.03	$758.58	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,174.90 / $8,709.64	Facility		$66.07	$1,174.90	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,479.11	Professional		$457.09	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,122.02	Professional		$426.58	$616.60	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $933.25	Professional		$371.54	$562.34	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,202.26	Professional		$416.87	$660.69	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $45,708.82 / $45,708.82	Facility		$3,715.35	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,011.87	Professional		$4,265.80	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $954.99	Facility		$416.87	$602.56	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,122.02	Professional		$426.58	$630.96	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,905.46	Professional		$1,380.38	$1,380.38	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $812.83	Professional		$380.19	$524.81	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,047.13	Professional		$363.08	$524.81	$1,047.13