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 $426.58 / $537.03 / $2,818.38	Professional		$426.58	$537.03	$2,818.38
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 $512.86 / $707.95 / $1,380.38	Professional		$512.86	$707.95	$1,380.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,348.96	Professional		$478.63	$691.83	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,011.87	Facility		$3,090.30	$3,090.30	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,258.93	Professional		$446.68	$602.56	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $812.83	Professional		$331.13	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,174.90	Professional		$478.63	$630.96	$1,174.90
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 $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $977.24	Facility		$467.74	$630.96	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,288.25	Professional		$446.68	$616.60	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $602.56	Professional		$331.13	$501.19	$602.56
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 $371.54 / $489.78 / $1,047.13	Professional		$371.54	$489.78	$1,047.13