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 $645.65 / $1,047.13 / $4,897.79	Professional		$645.65	$1,047.13	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,454.71	Professional		$724.44	$1,071.52	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $9,549.93	Facility		$66.07	$3,801.89	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $2,238.72	Professional		$645.65	$891.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,090.30	Facility		$575.44	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,041.74	Professional		$691.83	$933.25	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $954.99 / $1,318.26	Professional		$389.05	$954.99	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,862.09	Professional		$758.58	$977.24	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,918.31 / $6,918.31	Professional		$6,165.95	$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 $794.33 / $1,000.00 / $1,513.56	Facility		$794.33	$1,000.00	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,137.96	Professional		$691.83	$977.24	$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 $489.78 / $691.83 / $891.25	Professional		$489.78	$691.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,737.80	Professional		$588.84	$776.25	$1,737.80