Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $16,595.87	Facility		$1,737.80	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $2,570.40	Professional		$489.78	$776.25	$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 $630.96 / $933.25 / $1,659.59	Professional		$630.96	$933.25	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,479.11 / $8,709.64	Facility		$66.07	$1,479.11	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,412.54	Professional		$501.19	$724.44	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,380.38	Professional		$524.81	$676.08	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $758.58	Professional		$436.52	$562.34	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,174.90	Professional		$457.09	$602.56	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	AS	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,466.84	Professional		$3,801.89	$4,466.84	$4,466.84
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 $501.19 / $645.65 / $1,071.52	Facility		$501.19	$645.65	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,380.38	Professional		$512.86	$691.83	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $933.25	Professional		$457.09	$630.96	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,122.02	Professional		$407.38	$562.34	$1,122.02