Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,479.11	Professional		$323.59	$436.52	$1,479.11
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 $371.54 / $549.54 / $1,047.13	Professional		$371.54	$549.54	$1,047.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $575.44 / $7,762.47	Facility		$66.07	$575.44	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,000.00	Professional		$354.81	$512.86	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $977.24	Professional		$371.54	$501.19	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $758.58	Professional		$416.87	$524.81	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $977.24	Professional		$416.87	$562.34	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $28,840.32	Facility		$2,398.83	$2,398.83	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $3,981.07	Professional		$3,388.44	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $660.69	Professional		$398.11	$398.11	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $812.83	Facility		$380.19	$537.03	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,047.13	Professional		$371.54	$501.19	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $794.33	Professional		$416.87	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $812.83	Professional		$295.12	$389.05	$812.83