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 $380.19 / $478.63 / $2,570.40	Professional		$380.19	$478.63	$2,570.40
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 $478.63 / $724.44 / $1,318.26	Professional		$478.63	$724.44	$1,318.26
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 $446.68 / $645.65 / $1,348.96	Professional		$446.68	$645.65	$1,348.96
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 $398.11 / $562.34 / $1,174.90	Professional		$398.11	$562.34	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $707.95	Professional		$323.59	$524.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,023.29	Professional		$426.58	$562.34	$1,023.29
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 $3,981.07 / $3,981.07 / $4,570.88	Professional		$3,981.07	$3,981.07	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $912.01	Facility		$446.68	$602.56	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,174.90	Professional		$398.11	$575.44	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $691.83	Professional		$407.38	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $954.99	Professional		$338.84	$446.68	$954.99