Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,471.29 / $22,387.21	Facility		$4,365.16	$10,471.29	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $4,073.80	Professional		$676.08	$851.14	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,949.84	Professional		$831.76	$1,071.52	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $7,413.10 / $22,387.21	Facility		$66.07	$7,413.10	$22,387.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,041.74	Professional		$758.58	$1,071.52	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $14,791.08	Facility		$707.95	$1,023.29	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,778.28	Professional		$660.69	$933.25	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,096.48	Professional		$436.52	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,548.82	Professional		$660.69	$812.83	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $13,489.63	Facility		$2,818.38	$10,232.93	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,698.24	Facility		$724.44	$977.24	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,949.84	Professional		$645.65	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $933.25	Professional		$549.54	$724.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $13,489.63 / $28,840.32	Facility		$6,309.57	$13,489.63	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,548.82	Professional		$616.60	$812.83	$1,548.82