Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,244.36 / $17,782.79	Facility		$1,621.81	$7,244.36	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $2,137.96	Professional		$338.84	$537.03	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
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 / $4,073.80 / $10,471.29	Facility		$66.07	$4,073.80	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,148.15	Professional		$398.11	$588.84	$1,148.15
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 $295.12 / $457.09 / $912.01	Professional		$295.12	$457.09	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,000.00	Professional		$363.08	$562.34	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,365.16 / $4,365.16	Professional		$3,801.89	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $912.01	Facility		$407.38	$588.84	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,096.48	Professional		$380.19	$588.84	$1,096.48
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,778.28	Professional		$1,202.26	$1,202.26	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $630.96	Professional		$331.13	$478.63	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $15,135.61	Facility		$4,073.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $933.25	Professional		$309.03	$467.74	$933.25