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 $602.56 / $776.25 / $3,388.44	Professional		$602.56	$776.25	$3,388.44
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 $707.95 / $977.24 / $1,995.26	Professional		$707.95	$977.24	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $10,471.29	Facility		$66.07	$3,162.28	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,778.28	Professional		$616.60	$912.01	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,737.80	Professional		$616.60	$794.33	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $891.25	Professional		$501.19	$660.69	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,318.26	Professional		$549.54	$724.44	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $45,708.82 / $45,708.82	Facility		$14,454.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,380.38	Facility		$660.69	$870.96	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,659.59	Professional		$602.56	$794.33	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,096.48	Professional		$537.03	$741.31	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,778.28	Professional		$524.81	$758.58	$1,778.28