Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $16,982.44	Facility		$2,187.76	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,479.11	Professional		$338.84	$489.78	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,288.25	Professional		$380.19	$575.44	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $7,762.47	Facility		$66.07	$3,235.94	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,202.26	Professional		$380.19	$549.54	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,023.29	Professional		$380.19	$537.03	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $724.44	Professional		$354.81	$446.68	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $977.24	Professional		$338.84	$537.03	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $4,265.80	Professional		$3,630.78	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $724.44	Professional		$426.58	$426.58	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $776.25	Facility		$346.74	$512.86	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,023.29	Professional		$371.54	$537.03	$1,023.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,659.59	Professional		$1,288.25	$1,288.25	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $707.95	Professional		$338.84	$537.03	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $912.01	Professional		$323.59	$457.09	$912.01