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 $562.34 / $691.83 / $3,715.35	Professional		$562.34	$691.83	$3,715.35
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 $602.56 / $891.25 / $1,778.28	Professional		$602.56	$891.25	$1,778.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $7,762.47	Facility		$66.07	$2,398.83	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,862.09	Professional		$660.69	$933.25	$1,862.09
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 $588.84 / $794.33 / $1,659.59	Professional		$588.84	$794.33	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $831.76 / $1,122.02	Professional		$288.40	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,513.56	Professional		$645.65	$851.14	$1,513.56
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 $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,288.25	Facility		$602.56	$870.96	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,698.24	Professional		$562.34	$831.76	$1,698.24
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 $363.08 / $501.19 / $758.58	Professional		$363.08	$501.19	$758.58
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 $467.74 / $645.65 / $1,318.26	Professional		$467.74	$645.65	$1,318.26