Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $17,378.01	Facility		$2,511.89	$6,606.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $3,090.30	Professional		$562.34	$758.58	$3,090.30
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 $602.56 / $977.24 / $2,041.74	Professional		$602.56	$977.24	$2,041.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,862.09	Professional		$660.69	$954.99	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,698.24	Professional		$562.34	$776.25	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $933.25	Professional		$489.78	$724.44	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,380.38	Professional		$588.84	$776.25	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,348.96	Facility		$645.65	$831.76	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,698.24	Professional		$549.54	$776.25	$1,698.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,047.13	Professional		$588.84	$724.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,862.09	Professional		$501.19	$707.95	$1,862.09