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 / $23,442.29	Facility		$3,715.35	$10,471.29	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $2,398.83	Professional		$457.09	$588.84	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,905.46	Professional		$724.44	$1,047.13	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,862.09	Facility		$60.26	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,288.25	Professional		$426.58	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,445.44	Professional		$489.78	$588.84	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $562.34	Professional		$338.84	$446.68	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $977.24	Professional		$389.05	$501.19	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $3,981.07	Professional		$3,235.94	$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 $436.52 / $575.44 / $812.83	Facility		$436.52	$575.44	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,412.54	Professional		$489.78	$602.56	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
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 $398.11 / $602.56 / $1,288.25	Professional		$398.11	$602.56	$1,288.25