Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $23,988.33	Facility		$4,786.30	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $4,365.16	Professional		$776.25	$954.99	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,570.40	Professional		$891.25	$1,288.25	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,290.87	Professional		$812.83	$1,174.90	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,089.30	Professional		$758.58	$1,000.00	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $977.24	Professional		$616.60	$812.83	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,621.81	Professional		$676.08	$912.01	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,760.83 / $6,760.83	Professional		$6,025.60	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,737.80	Facility		$831.76	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,089.30	Professional		$758.58	$1,000.00	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,318.26	Professional		$660.69	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,290.87	Professional		$645.65	$954.99	$2,290.87