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 $398.11 / $549.54 / $2,884.03	Professional		$398.11	$549.54	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,445.44	Professional		$537.03	$724.44	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $5,888.44	Facility		$66.07	$2,570.40	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,380.38	Professional		$478.63	$691.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,288.25	Professional		$457.09	$616.60	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $602.56 / $812.83	Professional		$194.98	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Professional		$478.63	$630.96	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,786.30	Facility		$1,995.26	$1,995.26	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $4,570.88	Professional		$3,801.89	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $977.24	Facility		$467.74	$630.96	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,318.26	Professional		$446.68	$630.96	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $549.54	Professional		$245.47	$338.84	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,071.52	Professional		$380.19	$501.19	$1,071.52