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 $489.78 / $602.56 / $3,235.94	Professional		$489.78	$602.56	$3,235.94
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 $630.96 / $851.14 / $1,621.81	Professional		$630.96	$851.14	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,709.64	Facility		$66.07	$3,388.44	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,584.89	Professional		$562.34	$812.83	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,445.44	Professional		$512.86	$691.83	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $891.25	Professional		$436.52	$660.69	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,288.25	Professional		$524.81	$691.83	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $45,708.82	Facility		$4,786.30	$4,786.30	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,011.87	Professional		$4,168.69	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $1,122.02	Facility		$575.44	$724.44	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,479.11	Professional		$512.86	$707.95	$1,479.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $741.31	Professional		$436.52	$602.56	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,230.27	Professional		$436.52	$588.84	$1,230.27