Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $18,620.87	Facility		$3,090.30	$7,943.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $3,090.30	Professional		$501.19	$660.69	$3,090.30
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 $676.08 / $912.01 / $1,819.70	Professional		$676.08	$912.01	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $12,882.50	Facility		$66.07	$4,168.69	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,548.82	Professional		$512.86	$758.58	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,311.31	Facility		$2,818.38	$2,818.38	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,445.44	Professional		$512.86	$676.08	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,096.48	Professional		$562.34	$741.31	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,174.90	Professional		$478.63	$630.96	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $12,589.25	Facility		$1,995.26	$1,995.26	$12,589.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $1,258.93	Facility		$549.54	$707.95	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,445.44	Professional		$501.19	$676.08	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,258.93	Professional		$457.09	$741.31	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,584.89	Professional		$426.58	$616.60	$1,584.89