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 $724.44 / $912.01 / $4,466.84	Professional		$724.44	$912.01	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,511.89	Professional		$912.01	$1,318.26	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,715.19	Facility		$66.07	$3,981.07	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,187.76	Professional		$794.33	$1,122.02	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,089.30	Professional		$776.25	$1,023.29	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,174.90	Professional		$501.19	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,778.28	Professional		$707.95	$933.25	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $45,708.82	Facility		$17,378.01	$17,378.01	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,079.46 / $7,079.46	Professional		$5,888.44	$7,079.46	$7,079.46
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 $794.33 / $1,023.29 / $1,584.89	Facility		$794.33	$1,023.29	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,089.30	Professional		$741.31	$1,047.13	$2,089.30
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 $630.96 / $794.33 / $1,096.48	Professional		$630.96	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,737.80	Professional		$630.96	$851.14	$1,737.80