Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,698.24	Professional		$295.12	$478.63	$1,698.24
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 $371.54 / $512.86 / $1,023.29	Professional		$371.54	$512.86	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,096.48	Professional		$354.81	$549.54	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $954.99	Professional		$338.84	$524.81	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $891.25	Professional		$354.81	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,000.00	Professional		$309.03	$549.54	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,073.80	Professional		$3,890.45	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $851.14	Facility		$323.59	$537.03	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,000.00	Professional		$338.84	$537.03	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Professional		$1,000.00	$1,000.00	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $933.25	Professional		$323.59	$630.96	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $851.14	Professional		$269.15	$416.87	$851.14