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 $426.58 / $537.03 / $2,884.03	Professional		$426.58	$537.03	$2,884.03
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 $489.78 / $676.08 / $1,348.96	Professional		$489.78	$676.08	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,818.38 / $8,317.64	Facility		$66.07	$2,818.38	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,380.38	Professional		$489.78	$691.83	$1,380.38
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 $457.09 / $602.56 / $1,258.93	Professional		$457.09	$602.56	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $812.83	Professional		$407.38	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,258.93	Professional		$489.78	$630.96	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $977.24	Facility		$478.63	$630.96	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,288.25	Professional		$446.68	$616.60	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $870.96	Professional		$489.78	$616.60	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $9,772.37	Facility		$2,290.87	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $1,023.29	Professional		$371.54	$489.78	$1,023.29