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 $549.54 / $676.08 / $3,467.37	Professional		$549.54	$676.08	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,737.80	Professional		$602.56	$812.83	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,445.44	Professional		$467.74	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,621.81	Professional		$467.74	$741.31	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $954.99	Professional		$426.58	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,380.38	Professional		$575.44	$758.58	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $5,495.41	Professional		$4,897.79	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Facility		$575.44	$776.25	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,621.81	Professional		$467.74	$776.25	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $912.01	Professional		$537.03	$645.65	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,318.26	Professional		$446.68	$602.56	$1,318.26