Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,011.87 / $15,848.93	Facility		$676.08	$5,011.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,737.80	Professional		$457.09	$588.84	$1,737.80
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 $562.34 / $776.25 / $1,445.44	Professional		$562.34	$776.25	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,238.72 / $5,888.44	Facility		$66.07	$2,238.72	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,412.54	Professional		$512.86	$724.44	$1,412.54
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 $501.19 / $645.65 / $1,258.93	Professional		$501.19	$645.65	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $724.44 / $1,000.00	Professional		$275.42	$724.44	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,202.26	Professional		$512.86	$676.08	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $4,677.35	Professional		$3,981.07	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $776.25	Professional		$467.74	$467.74	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,047.13	Facility		$524.81	$691.83	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,318.26	Professional		$501.19	$676.08	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,737.80	Professional		$1,621.81	$1,621.81	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $660.69	Professional		$346.74	$489.78	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,096.48	Professional		$398.11	$524.81	$1,096.48