Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,471.29 / $22,387.21	Facility		$4,677.35	$10,471.29	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $3,981.07	Professional		$724.44	$1,318.26	$3,981.07
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 $851.14 / $1,288.25 / $2,630.27	Professional		$851.14	$1,288.25	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $22,908.68	Facility		$66.07	$5,495.41	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,089.30	Professional		$724.44	$1,071.52	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $13,182.57 / $14,791.08	Facility		$4,265.80	$13,182.57	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,089.30	Professional		$707.95	$954.99	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,000.00	Professional		$478.63	$724.44	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,621.81	Professional		$645.65	$851.14	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $16,218.10	Facility		$2,818.38	$10,232.93	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,309.57 / $6,309.57	Professional		$5,495.41	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,621.81	Facility		$776.25	$1,000.00	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,995.26	Professional		$707.95	$954.99	$1,995.26
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 $602.56 / $707.95 / $1,023.29	Professional		$602.56	$707.95	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,137.96	Professional		$630.96	$870.96	$2,137.96