Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $22,387.21	Facility		$4,168.69	$10,232.93	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $4,168.69	Professional		$645.65	$851.14	$4,168.69
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 / $1,202.26 / $2,398.83	Professional		$851.14	$1,202.26	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,238.72	Professional		$794.33	$1,148.15	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $12,022.64 / $14,791.08	Facility		$4,265.80	$12,022.64	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,949.84	Professional		$724.44	$912.01	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $4,168.69	Professional		$707.95	$776.25	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,479.11	Professional		$602.56	$794.33	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $42,657.95 / $42,657.95	Facility		$16,218.10	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,737.80	Facility		$724.44	$977.24	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,905.46	Professional		$691.83	$912.01	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
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 $602.56 / $812.83 / $2,041.74	Professional		$602.56	$812.83	$2,041.74