Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $3,890.45	Professional		$575.44	$724.44	$3,890.45
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 $660.69 / $933.25 / $1,862.09	Professional		$660.69	$933.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $6,918.31	Facility		$66.07	$2,570.40	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,995.26	Professional		$724.44	$1,047.13	$1,995.26
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 $630.96 / $851.14 / $1,737.80	Professional		$630.96	$851.14	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $851.14 / $1,148.15	Professional		$338.84	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Professional		$660.69	$870.96	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $19,498.45	Facility		$8,912.51	$8,912.51	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $5,754.40	Professional		$4,897.79	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,348.96	Facility		$645.65	$891.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,737.80	Professional		$630.96	$870.96	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $776.25	Professional		$426.58	$588.84	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,380.38	Professional		$501.19	$660.69	$1,380.38