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 $331.13 / $501.19 / $1,445.44	Professional		$331.13	$501.19	$1,445.44
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 $389.05 / $588.84 / $1,148.15	Professional		$389.05	$588.84	$1,148.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $8,317.64	Facility		$66.07	$3,235.94	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,122.02	Professional		$380.19	$575.44	$1,122.02
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 $380.19 / $562.34 / $1,047.13	Professional		$380.19	$562.34	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $891.25	Professional		$251.19	$446.68	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,000.00	Professional		$354.81	$562.34	$1,000.00
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 $3,715.35 / $4,265.80 / $4,265.80	Professional		$3,715.35	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $724.44	Professional		$436.52	$436.52	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $891.25	Facility		$398.11	$575.44	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,071.52	Professional		$380.19	$588.84	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,737.80	Professional		$1,174.90	$1,174.90	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $575.44	Professional		$316.23	$426.58	$575.44
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 $309.03 / $457.09 / $933.25	Professional		$309.03	$457.09	$933.25