Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $5,128.61	Professional		$831.76	$1,096.48	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,090.30	Professional		$977.24	$1,412.54	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $16,982.44	Facility		$66.07	$4,786.30	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,754.23	Professional		$977.24	$1,412.54	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,288.25	Professional		$741.31	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,995.26	Professional		$794.33	$1,047.13	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,290.87	Facility		$912.01	$1,230.27	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,454.71	Professional		$851.14	$1,148.15	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,584.89	Professional		$776.25	$1,071.52	$1,584.89
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 $758.58 / $1,047.13 / $2,630.27	Professional		$758.58	$1,047.13	$2,630.27