Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $4,897.79	Professional		$870.96	$1,122.02	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,884.03	Professional		$1,023.29	$1,412.54	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,570.40	Professional		$891.25	$1,318.26	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,511.89	Professional		$912.01	$1,174.90	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,202.26	Professional		$794.33	$933.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,862.09	Professional		$776.25	$1,047.13	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $8,511.38	Facility		$1,995.26	$1,995.26	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,762.47 / $7,762.47	Professional		$7,079.46	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,905.46	Facility		$954.99	$1,258.93	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,454.71	Professional		$870.96	$1,174.90	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,698.24	Professional		$794.33	$1,122.02	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,570.40	Professional		$776.25	$1,122.02	$2,570.40