Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $3,311.31	Professional		$630.96	$794.33	$3,311.31
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 $912.01 / $1,202.26 / $2,344.23	Professional		$912.01	$1,202.26	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,995.26	Professional		$575.44	$831.76	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,819.70	Professional		$645.65	$794.33	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $870.96	Professional		$524.81	$691.83	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,445.44	Professional		$588.84	$776.25	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,148.15	Facility		$660.69	$851.14	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,819.70	Professional		$645.65	$794.33	$1,819.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $891.25	Professional		$524.81	$676.08	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,698.24	Professional		$549.54	$776.25	$1,698.24