Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $22,908.68	Facility		$3,981.07	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $5,495.41	Professional		$870.96	$1,174.90	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $3,090.30	Professional		$954.99	$1,548.82	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $6,760.83	Facility		$66.07	$2,691.53	$6,760.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,454.71	Professional		$741.31	$1,096.48	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,570.40	Professional		$794.33	$1,230.27	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,344.23	Professional		$954.99	$1,258.93	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $9,332.54	Professional		$7,413.10	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,995.26	Facility		$933.25	$1,288.25	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,630.27	Professional		$776.25	$1,202.26	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,445.44	Professional		$851.14	$1,047.13	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,703.96	Facility		$6,456.54	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,884.03	Professional		$776.25	$1,122.02	$2,884.03