Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $3,801.89	Professional		$645.65	$870.96	$3,801.89
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 $562.34 / $933.25 / $1,995.26	Professional		$562.34	$933.25	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,174.90 / $6,165.95	Facility		$66.07	$1,174.90	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,698.24	Professional		$562.34	$812.83	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,905.46	Professional		$630.96	$954.99	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $912.01 / $1,380.38	Professional		$331.13	$912.01	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Professional		$707.95	$1,000.00	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $7,079.46	Professional		$6,165.95	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Professional		$707.95	$707.95	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,548.82	Facility		$575.44	$954.99	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,949.84	Professional		$630.96	$977.24	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,754.23	Professional		$2,290.87	$2,290.87	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $977.24	Professional		$346.74	$562.34	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,584.89	Professional		$549.54	$741.31	$1,584.89