Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $23,988.33	Facility		$4,466.84	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $3,548.13	Professional		$602.56	$812.83	$3,548.13
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 $758.58 / $977.24 / $1,949.84	Professional		$758.58	$977.24	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,951.21 / $16,982.44	Facility		$66.07	$2,951.21	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,905.46	Professional		$660.69	$977.24	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,698.24	Professional		$660.69	$912.01	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $1,202.26	Professional		$295.12	$724.44	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,548.82	Professional		$575.44	$870.96	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $33,884.42 / $33,884.42	Facility		$4,466.84	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Professional		$691.83	$691.83	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,513.56	Facility		$676.08	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,778.28	Professional		$660.69	$933.25	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,570.40	Professional		$2,041.74	$2,041.74	$2,570.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $870.96	Professional		$371.54	$537.03	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,479.11	Professional		$537.03	$741.31	$1,479.11