Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,772.37 / $23,442.29	Facility		$3,801.89	$9,772.37	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $3,548.13	Professional		$691.83	$870.96	$3,548.13
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 $630.96 / $1,174.90 / $2,454.71	Professional		$630.96	$1,174.90	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $16,982.44	Facility		$66.07	$4,570.88	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,238.72	Professional		$776.25	$1,122.02	$2,238.72
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 / $933.25 / $1,995.26	Professional		$707.95	$933.25	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,023.29	Professional		$389.05	$758.58	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,621.81	Professional		$645.65	$870.96	$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 / $6,918.31 / $6,918.31	Professional		$5,495.41	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,584.89	Facility		$741.31	$1,000.00	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $2,041.74	Professional		$707.95	$933.25	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $691.83	Professional		$389.05	$602.56	$691.83
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 $645.65 / $891.25 / $2,187.76	Professional		$645.65	$891.25	$2,187.76