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 $537.03 / $724.44 / $3,090.30	Professional		$537.03	$724.44	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,819.70	Professional		$616.60	$891.25	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $10,964.78	Facility		$66.07	$3,715.35	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,621.81	Professional		$575.44	$831.76	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,621.81	Professional		$588.84	$870.96	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $707.95 / $1,148.15	Professional		$295.12	$707.95	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,288.25	Professional		$537.03	$741.31	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,495.41	Professional		$4,677.35	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $891.25	Professional		$537.03	$537.03	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,288.25	Facility		$602.56	$831.76	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,621.81	Professional		$562.34	$891.25	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $724.44	Professional		$371.54	$537.03	$724.44
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 $467.74 / $676.08 / $1,348.96	Professional		$467.74	$676.08	$1,348.96