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 $676.08 / $1,096.48 / $5,128.61	Professional		$676.08	$1,096.48	$5,128.61
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 $776.25 / $1,148.15 / $2,630.27	Professional		$776.25	$1,148.15	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $8,709.64	Facility		$66.07	$2,884.03	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,398.83	Professional		$707.95	$977.24	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,995.26	Facility		$575.44	$851.14	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $2,137.96	Professional		$741.31	$1,000.00	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,412.54	Professional		$741.31	$1,096.48	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,949.84	Professional		$776.25	$1,023.29	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $45,708.82 / $45,708.82	Facility		$6,025.60	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,413.10 / $7,413.10	Professional		$6,456.54	$7,413.10	$7,413.10
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 $851.14 / $1,071.52 / $1,778.28	Facility		$851.14	$1,071.52	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,238.72	Professional		$758.58	$1,023.29	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,584.89	Professional		$812.83	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,819.70	Professional		$630.96	$831.76	$1,819.70