Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $2,951.21	Professional		$467.74	$549.54	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,584.89	Professional		$616.60	$776.25	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $7,079.46	Facility		$66.07	$2,691.53	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,513.56	Professional		$524.81	$776.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,380.38	Professional		$501.19	$676.08	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $741.31	Professional		$295.12	$549.54	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,071.52	Professional		$446.68	$588.84	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,595.87	Facility		$1,995.26	$1,995.26	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
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 $512.86 / $676.08 / $1,174.90	Facility		$512.86	$676.08	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,380.38	Professional		$489.78	$691.83	$1,380.38
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 $371.54 / $489.78 / $630.96	Professional		$371.54	$489.78	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,148.15	Professional		$407.38	$549.54	$1,148.15