Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,309.57 / $16,982.44	Facility		$2,290.87	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $2,290.87	Professional		$354.81	$446.68	$2,290.87
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 $371.54 / $537.03 / $1,096.48	Professional		$371.54	$537.03	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $269.15 / $7,762.47	Facility		$66.07	$269.15	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,047.13	Professional		$371.54	$537.03	$1,047.13
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 $371.54 / $501.19 / $1,000.00	Professional		$371.54	$501.19	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $831.76	Professional		$204.17	$537.03	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $954.99	Professional		$407.38	$549.54	$954.99
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 $3,235.94 / $3,890.45 / $3,890.45	Professional		$3,235.94	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $645.65	Professional		$380.19	$380.19	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $831.76	Facility		$371.54	$537.03	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,047.13	Professional		$363.08	$512.86	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Professional		$1,258.93	$1,258.93	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $537.03	Professional		$257.04	$389.05	$537.03
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 $309.03 / $407.38 / $851.14	Professional		$309.03	$407.38	$851.14