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 $426.58 / $575.44 / $2,691.53	Professional		$426.58	$575.44	$2,691.53
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 $478.63 / $691.83 / $1,513.56	Professional		$478.63	$691.83	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,332.54	Facility		$66.07	$3,388.44	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,348.96	Professional		$436.52	$645.65	$1,348.96
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 $398.11 / $575.44 / $1,258.93	Professional		$398.11	$575.44	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $724.44	Professional		$371.54	$562.34	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,023.29	Professional		$446.68	$588.84	$1,023.29
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 $3,467.37 / $3,981.07 / $3,981.07	Professional		$3,467.37	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,000.00	Facility		$457.09	$602.56	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,258.93	Professional		$380.19	$562.34	$1,258.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $794.33	Professional		$457.09	$562.34	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,348.96	Professional		$346.74	$501.19	$1,348.96