Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $4,570.88	Professional		$616.60	$912.01	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,238.72	Professional		$776.25	$1,047.13	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $7,762.47	Facility		$66.07	$2,511.89	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,862.09	Professional		$602.56	$870.96	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,995.26	Professional		$602.56	$912.01	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $1,288.25	Professional		$537.03	$1,000.00	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,041.74	Professional		$812.83	$1,071.52	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $28,840.32	Facility		$10,715.19	$10,715.19	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $7,585.78	Professional		$6,456.54	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,621.81	Facility		$724.44	$1,071.52	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $2,137.96	Professional		$602.56	$912.01	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,148.15	Professional		$676.08	$891.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,737.80	Professional		$549.54	$758.58	$1,737.80