Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $18,197.01	Facility		$3,311.31	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $2,951.21	Professional		$467.74	$575.44	$2,951.21
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 $537.03 / $776.25 / $1,548.82	Professional		$537.03	$776.25	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,120.11	Facility		$66.07	$3,388.44	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,479.11	Professional		$524.81	$758.58	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,715.35	Facility		$3,090.30	$3,090.30	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,380.38	Professional		$524.81	$676.08	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $812.83	Professional		$380.19	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,202.26	Professional		$489.78	$645.65	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,570.88	Professional		$3,890.45	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,047.13	Facility		$537.03	$707.95	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,380.38	Professional		$524.81	$691.83	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $676.08	Professional		$380.19	$537.03	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,148.15	Professional		$407.38	$549.54	$1,148.15