Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,908.68	Facility		$3,548.13	$8,912.51	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $3,890.45	Professional		$602.56	$794.33	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $4,897.79	Facility		$891.25	$1,148.15	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,187.76	Professional		$758.58	$1,122.02	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,819.70	Professional		$691.83	$870.96	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,047.13	Professional		$512.86	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,584.89	Professional		$630.96	$831.76	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,348.96	Facility		$660.69	$870.96	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,819.70	Professional		$660.69	$891.25	$1,819.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $870.96	Professional		$512.86	$707.95	$870.96
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 $537.03 / $724.44 / $1,513.56	Professional		$537.03	$724.44	$1,513.56