Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $3,467.37	Professional		$524.81	$645.65	$3,467.37
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 $616.60 / $870.96 / $1,778.28	Professional		$616.60	$870.96	$1,778.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,698.24	Professional		$602.56	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,621.81	Professional		$562.34	$758.58	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $933.25	Professional		$407.38	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,380.38	Professional		$562.34	$741.31	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $5,370.32	Professional		$4,466.84	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,202.26	Facility		$602.56	$776.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,621.81	Professional		$562.34	$776.25	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $741.31	Professional		$407.38	$616.60	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,348.96	Professional		$478.63	$630.96	$1,348.96