Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $3,981.07	Professional		$645.65	$794.33	$3,981.07
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 $812.83 / $1,096.48 / $2,137.96	Professional		$812.83	$1,096.48	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,995.26	Professional		$707.95	$1,000.00	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,905.46	Professional		$691.83	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,071.52	Professional		$380.19	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,548.82	Professional		$645.65	$851.14	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,888.44	Facility		$54.95	$56.23	$5,888.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $6,309.57	Professional		$5,623.41	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,412.54	Facility		$724.44	$912.01	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,905.46	Professional		$691.83	$954.99	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $870.96	Professional		$478.63	$645.65	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,584.89	Professional		$562.34	$758.58	$1,584.89