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 $302.00 / $478.63 / $1,348.96	Professional		$302.00	$478.63	$1,348.96
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 $346.74 / $512.86 / $1,000.00	Professional		$346.74	$512.86	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $8,317.64	Facility		$66.07	$3,090.30	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,047.13	Professional		$371.54	$549.54	$1,047.13
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 $346.74 / $524.81 / $977.24	Professional		$346.74	$524.81	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $851.14	Professional		$190.55	$416.87	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $954.99	Professional		$331.13	$524.81	$954.99
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 $3,548.13 / $4,073.80 / $4,073.80	Professional		$3,548.13	$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 $363.08 / $524.81 / $831.76	Facility		$363.08	$524.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,071.52	Professional		$346.74	$549.54	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,621.81	Professional		$1,071.52	$1,071.52	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $549.54	Professional		$239.88	$338.84	$549.54
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 $281.84 / $426.58 / $851.14	Professional		$281.84	$426.58	$851.14