Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $4,570.88	Professional		$758.58	$977.24	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,570.40	Professional		$912.01	$1,258.93	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $12,589.25	Facility		$66.07	$5,011.87	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,398.83	Professional		$831.76	$1,202.26	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,137.96	Professional		$741.31	$977.24	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,174.90	Professional		$630.96	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,659.59	Professional		$707.95	$954.99	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $33,884.42 / $33,884.42	Facility		$30,199.52	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $6,918.31	Professional		$5,888.44	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,584.89	Facility		$794.33	$1,023.29	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,137.96	Professional		$724.44	$977.24	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,348.96	Professional		$707.95	$933.25	$1,348.96
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 $630.96 / $891.25 / $2,290.87	Professional		$630.96	$891.25	$2,290.87