Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $23,988.33	Facility		$4,677.35	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $3,890.45	Professional		$602.56	$794.33	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,137.96	Professional		$676.08	$977.24	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $16,982.44	Facility		$66.07	$5,754.40	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,905.46	Professional		$630.96	$933.25	$1,905.46
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 $562.34 / $812.83 / $1,778.28	Professional		$562.34	$812.83	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,023.29	Professional		$380.19	$575.44	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,445.44	Professional		$616.60	$831.76	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,380.38	Facility		$645.65	$851.14	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,778.28	Professional		$537.03	$794.33	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $851.14	Professional		$478.63	$645.65	$851.14
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 / $1,905.46	Professional		$501.19	$707.95	$1,905.46