Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $2,884.03	Professional		$501.19	$645.65	$2,884.03
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 $676.08 / $933.25 / $1,905.46	Professional		$676.08	$933.25	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,698.24	Professional		$602.56	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Facility		$3,090.30	$3,090.30	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,445.44	Professional		$537.03	$676.08	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $660.69	Professional		$323.59	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,071.52	Professional		$426.58	$562.34	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $33,884.42 / $33,884.42	Facility		$13,803.84	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,148.15	Facility		$512.86	$691.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,412.54	Professional		$524.81	$676.08	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $691.83	Professional		$407.38	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,513.56	Professional		$446.68	$602.56	$1,513.56