Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $2,570.40	Professional		$354.81	$575.44	$2,570.40
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 $371.54 / $630.96 / $1,513.56	Professional		$371.54	$630.96	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $467.74 / $7,762.47	Facility		$66.07	$467.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,230.27	Professional		$389.05	$562.34	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,148.15	Professional		$398.11	$616.60	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $933.25	Professional		$380.19	$524.81	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,258.93	Professional		$398.11	$691.83	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $28,840.32 / $28,840.32	Facility		$2,884.03	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $851.14	Professional		$512.86	$512.86	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $977.24	Facility		$380.19	$575.44	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,174.90	Professional		$398.11	$616.60	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,995.26	Professional		$1,380.38	$1,380.38	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $812.83	Professional		$380.19	$616.60	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,760.83	Facility		$588.84	$1,548.82	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,047.13	Professional		$346.74	$501.19	$1,047.13