Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $3,548.13	Professional		$794.33	$933.25	$3,548.13
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 $758.58 / $1,047.13 / $1,995.26	Professional		$758.58	$1,047.13	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $16,982.44	Facility		$66.07	$5,495.41	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,511.89	Professional		$977.24	$1,380.38	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,467.37 / $7,413.10	Facility		$630.96	$3,467.37	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,041.74	Professional		$660.69	$1,096.48	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,288.25	Professional		$630.96	$954.99	$1,288.25
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 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,949.84	Facility		$812.83	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,137.96	Professional		$645.65	$1,096.48	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,348.96	Professional		$776.25	$954.99	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,737.80	Professional		$676.08	$933.25	$1,737.80