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 $478.63 / $588.84 / $2,454.71	Professional		$478.63	$588.84	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,949.84	Professional		$724.44	$1,047.13	$1,949.84
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 $478.63 / $645.65 / $1,412.54	Professional		$478.63	$645.65	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,513.56	Professional		$489.78	$602.56	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $588.84	Professional		$338.84	$467.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,000.00	Professional		$407.38	$512.86	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $851.14	Facility		$457.09	$602.56	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,445.44	Professional		$489.78	$616.60	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $575.44	Professional		$338.84	$436.52	$575.44
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 $416.87 / $616.60 / $1,288.25	Professional		$416.87	$616.60	$1,288.25