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 $295.12 / $467.74 / $1,737.80	Professional		$295.12	$467.74	$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 $316.23 / $478.63 / $933.25	Professional		$316.23	$478.63	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,762.47	Facility		$66.07	$2,630.27	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,023.29	Professional		$354.81	$524.81	$1,023.29
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 $331.13 / $501.19 / $912.01	Professional		$331.13	$501.19	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $812.83	Professional		$186.21	$389.05	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $912.01	Professional		$309.03	$501.19	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $794.33	Facility		$331.13	$501.19	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $977.24	Professional		$331.13	$524.81	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,548.82	Professional		$1,000.00	$1,000.00	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $524.81	Professional		$234.42	$323.59	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $812.83	Professional		$263.03	$407.38	$812.83