Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $2,951.21	Professional		$457.09	$575.44	$2,951.21
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 $562.34 / $776.25 / $1,659.59	Professional		$562.34	$776.25	$1,659.59
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 $489.78 / $724.44 / $1,479.11	Professional		$489.78	$724.44	$1,479.11
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 $446.68 / $616.60 / $1,348.96	Professional		$446.68	$616.60	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $776.25	Professional		$407.38	$588.84	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,096.48	Professional		$478.63	$630.96	$1,096.48
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 $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 $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,096.48	Facility		$501.19	$660.69	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,348.96	Professional		$426.58	$616.60	$1,348.96
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 $478.63 / $616.60 / $870.96	Professional		$478.63	$616.60	$870.96
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 $389.05 / $549.54 / $1,479.11	Professional		$389.05	$549.54	$1,479.11