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 $630.96 / $831.76 / $3,630.78	Professional		$630.96	$831.76	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,290.87	Professional		$707.95	$1,122.02	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $15,135.61	Facility		$66.07	$4,168.69	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,041.74	Professional		$724.44	$1,047.13	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,862.09	Professional		$660.69	$870.96	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $954.99	Professional		$602.56	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,445.44	Professional		$588.84	$776.25	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional		$5,128.61	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,412.54	Facility		$676.08	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,862.09	Professional		$645.65	$870.96	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,023.29	Professional		$562.34	$776.25	$1,023.29
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 $575.44 / $794.33 / $2,041.74	Professional		$575.44	$794.33	$2,041.74