Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $3,235.94	Professional		$512.86	$645.65	$3,235.94
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 / $794.33 / $1,659.59	Professional		$616.60	$794.33	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $16,982.44	Facility		$66.07	$5,754.40	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,548.82	Professional		$537.03	$776.25	$1,548.82
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 $537.03 / $707.95 / $1,513.56	Professional		$537.03	$707.95	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $870.96	Professional		$524.81	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,230.27	Professional		$524.81	$691.83	$1,230.27
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 $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,230.27	Facility		$562.34	$741.31	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,513.56	Professional		$537.03	$724.44	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,202.26	Professional		$436.52	$575.44	$1,202.26