Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $19,952.62	Facility		$3,467.37	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,778.28	Professional		$302.00	$489.78	$1,778.28
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 $346.74 / $537.03 / $1,023.29	Professional		$346.74	$537.03	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $10,964.78	Facility		$66.07	$3,311.31	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,047.13	Professional		$331.13	$537.03	$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 / $512.86 / $954.99	Professional		$346.74	$512.86	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $831.76	Professional		$190.55	$407.38	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $912.01	Professional		$323.59	$512.86	$912.01
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 $3,467.37 / $3,981.07 / $3,981.07	Professional		$3,467.37	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $831.76	Facility		$354.81	$524.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $977.24	Professional		$346.74	$537.03	$977.24
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 / $524.81	Professional		$239.88	$338.84	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $15,135.61	Facility		$3,890.45	$7,413.10	$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