Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $5,495.41	Professional		$741.31	$1,202.26	$5,495.41
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 $794.33 / $1,258.93 / $2,818.38	Professional		$794.33	$1,258.93	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $9,772.37	Facility		$66.07	$4,168.69	$9,772.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,630.27	Professional		$758.58	$1,047.13	$2,630.27
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 $794.33 / $1,071.52 / $2,290.87	Professional		$794.33	$1,071.52	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,398.83	Professional		$1,071.52	$1,288.25	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,089.30	Professional		$851.14	$1,096.48	$2,089.30
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 $6,918.31 / $7,943.28 / $7,943.28	Professional		$6,918.31	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,659.59	Facility		$912.01	$1,148.15	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,398.83	Professional		$812.83	$1,122.02	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,202.26	Professional		$870.96	$933.25	$1,202.26
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 $691.83 / $891.25 / $1,995.26	Professional		$691.83	$891.25	$1,995.26