Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $31,622.78	Facility		$4,897.79	$11,481.54	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $2,137.96	Professional		$380.19	$467.74	$2,137.96
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 $616.60 / $831.76 / $1,548.82	Professional		$616.60	$831.76	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $36,307.81	Facility		$64.57	$100.00	$36,307.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,445.44	Professional		$478.63	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $15,488.17 / $25,703.96	Facility		$13,489.63	$15,488.17	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,148.15	Professional		$389.05	$512.86	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $724.44	Professional		$346.74	$380.19	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $741.31	Professional		$295.12	$389.05	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $43,651.58 / $104,712.85	Facility		$54.95	$43,651.58	$104,712.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $19,498.45	Professional		$3,467.37	$3,467.37	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,047.13	Facility		$371.54	$588.84	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,148.15	Professional		$389.05	$537.03	$1,148.15
Sutter Health Plus 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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $831.76	Professional		$316.23	$537.03	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $30,199.52 / $79,432.82	Facility		$15,135.61	$30,199.52	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,047.13	Professional		$309.03	$489.78	$1,047.13