Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $2,818.38	Professional		$407.38	$524.81	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,318.26	Professional		$426.58	$602.56	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,332.54	Facility		$66.07	$3,388.44	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,288.25	Professional		$436.52	$616.60	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,202.26	Professional		$446.68	$588.84	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $831.76	Professional		$398.11	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,148.15	Professional		$489.78	$645.65	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $34,673.69	Facility		$28,840.32	$28,840.32	$34,673.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $4,365.16	Professional		$3,630.78	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $954.99	Facility		$467.74	$630.96	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,258.93	Professional		$436.52	$602.56	$1,258.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $851.14	Professional		$501.19	$588.84	$851.14
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 $363.08 / $467.74 / $1,000.00	Professional		$363.08	$467.74	$1,000.00