Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,778.28	Professional		$309.03	$467.74	$1,778.28
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 $309.03 / $501.19 / $1,023.29	Professional		$309.03	$501.19	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $8,511.38	Facility		$66.07	$3,548.13	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Professional		$371.54	$562.34	$1,096.48
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 $354.81 / $524.81 / $954.99	Professional		$354.81	$524.81	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $812.83	Professional		$234.42	$407.38	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $912.01	Professional		$331.13	$501.19	$912.01
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 $3,630.78 / $3,890.45 / $3,890.45	Professional		$3,630.78	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $812.83	Facility		$338.84	$524.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,000.00	Professional		$354.81	$549.54	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,584.89	Professional		$1,096.48	$1,096.48	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $537.03	Professional		$295.12	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $831.76	Professional		$288.40	$426.58	$831.76