Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $3,019.95	Professional		$436.52	$562.34	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,445.44	Professional		$489.78	$660.69	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $7,762.47	Facility		$66.07	$239.88	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,318.26	Professional		$446.68	$645.65	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,288.25	Professional		$457.09	$616.60	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $776.25	Professional		$251.19	$380.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,202.26	Professional		$501.19	$660.69	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $28,840.32	Facility		$3,388.44	$3,388.44	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $4,677.35	Professional		$3,890.45	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,000.00	Facility		$501.19	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,380.38	Professional		$446.68	$630.96	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $575.44	Professional		$316.23	$446.68	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,096.48	Professional		$389.05	$512.86	$1,096.48