Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $16,595.87	Facility		$1,737.80	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,819.70	Professional		$446.68	$537.03	$1,819.70
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 $524.81 / $741.31 / $1,445.44	Professional		$524.81	$741.31	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $5,888.44	Facility		$66.07	$239.88	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,348.96	Professional		$467.74	$691.83	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,288.25	Professional		$489.78	$630.96	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $645.65 / $851.14	Professional		$257.04	$645.65	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,122.02	Professional		$501.19	$660.69	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $19,498.45	Facility		$3,162.28	$3,162.28	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	54	$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,570.88	Professional		$3,890.45	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Professional		$457.09	$457.09	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Facility		$512.86	$676.08	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,348.96	Professional		$489.78	$660.69	$1,348.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Professional		$1,621.81	$1,621.81	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $660.69	Professional		$331.13	$478.63	$660.69
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 $398.11 / $524.81 / $1,071.52	Professional		$398.11	$524.81	$1,071.52